Meadow City Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MEADOW CITY ASSISTED LIVING LLC

Practice address

813 4TH St
Las Vegas, NM 87701-4422

Phone

(505) 429-9492

NPI assigned

Aug 13, 2026

Organization subpart

No

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

Authorized official

Name

Fabian Montano

Title

Owner

Phone

(505) 429-9492

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786838400000",
    "number": "1619892809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 4TH ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014422",
            "telephone_number": "505-429-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 4TH ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014422",
            "telephone_number": "505-429-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW CITY ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A",
        "authorized_official_last_name": "MONTANO",
        "authorized_official_first_name": "FABIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-429-9492"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; 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.