Organization Active NPI

Sandia Senior Suites LLC

  • Assisted Living Facility
  • Albuquerque, NM
National Provider Identifier
1568943991
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2281 Issued in NM
Legal business name
SANDIA SENIOR SUITES LLC
Practice address
303 San Mateo Blvd NE Ste 101
Albuquerque, NM 87108-1382
Phone
(505) 362-0825
NPI assigned
Aug 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Cronin
Title
Administrator
Phone
(505) 362-0825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2281 NM Primary

Addresses

Primary practice location

303 San Mateo Blvd NE Ste 101
Albuquerque, NM 87108-1382

Mailing address

303 San Mateo Blvd NE Ste 101
Albuquerque, NM 87108-1382
Phone (505) 362-0825

National Provider Directory

National Provider Directory

Locations

303 San Mateo Blvd NE
#101
Albuquerque, NM 87108
Phone (505) 362-0825

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1568943991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SAN MATEO BLVD NE STE 101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081382",
            "telephone_number": "505-362-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 SAN MATEO BLVD NE STE 101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081382",
            "telephone_number": "505-362-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIA SENIOR SUITES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "CRONIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "505-362-0825"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "2281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.