Alta Mira Specialized Family Services

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

ALTA MIRA SPECIALIZED FAMILY SERVICES

Practice address

1605 Carlisle Blvd NE
Albuquerque, NM 87110-5619

Phone

(505) 262-0801

Fax

(505) 262-0845

NPI assigned

Aug 31, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jim Copeland

Title

Executive Director

Phone

(505) 366-2117

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Alta Mira Specialized Family Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alta Mira Specialized Family Services, Inc.

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1699833640
  NPD tax ID

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1629524434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105619",
            "telephone_number": "505-262-0801",
            "fax_number": "505-262-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105619",
            "telephone_number": "505-262-0801",
            "fax_number": "505-262-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA MIRA SPECIALIZED FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-366-2117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E7208",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aseel Alsamarraie
• Ahmed Abdulkareem Abbas Alsarah
• Karen Elizabeth Alsbrook, PHD, RN, OCN
• Mohammed Alsillak, MD
• Hossam Saleh Khlaef Alslaim, MD
• Alta Mira Specialized Family Services, Inc.
• Ellaf Sabah Altamimi
• Desiree Ariel Altamirano
• Serina Altamirano, CCSW
• Rawan M. Altarawneh, MD

• Early Intervention Provider Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Early Intervention Provider Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.