Active NPI
Rehab Suites at Las Estancias LLC
- Skilled Nursing Facility
- Albuquerque, NM
National Provider Identifier
1619390333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- REHAB SUITES AT LAS ESTANCIAS LLC
- Doing business as
- The Rio at Las Estancias
- Practice address
- 3620 Las Estancias Drive SW
Albuquerque, NM 87105 - Phone
- (505) 253-9600
- Fax
- (505) 944-7091
- NPI assigned
- Jan 31, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis Ward
- Title
- Director of Operations
- Phone
- (318) 267-6515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NM | Primary |
Addresses
Primary practice location
3620 Las Estancias Drive SW
Albuquerque, NM 87105
Mailing address
8820 Horizon Blvd NE
Albuquerque, NM 87113-1689
Phone (505) 998-6254
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84738863 | Medicaid | NM |
Other names 1
- The Rio at Las Estancias
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414108800000",
"number": "1619390333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8820 HORIZON BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871131689",
"telephone_number": "505-998-6254",
"fax_number": "505-944-7091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 LAS ESTANCIAS DRIVE SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87105",
"telephone_number": "505-253-9600",
"fax_number": "505-944-7091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB SUITES AT LAS ESTANCIAS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-31",
"last_updated": "2014-10-24",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "318-267-6515"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "84738863",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Rio at Las Estancias",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.