Organization Active NPI

Rehab Suites at Las Estancias LLC

  • Skilled Nursing Facility
  • Albuquerque, NM
National Provider Identifier
1619390333
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Oct 24, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
84738863MedicaidNM

Other names 1

  • The Rio at Las Estancias Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.