Organization Active NPI

Sandia View Fountain Hill LLC

  • Assisted Living Facility
  • Albuquerque, NM
National Provider Identifier
1669209839
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SANDIA VIEW FOUNTAIN HILL LLC
Practice address
4551 Vista Fuente Rd NW
Albuquerque, NM 87114-3800
Phone
(505) 582-2906
Fax
(505) 212-5307
NPI assigned
Sep 19, 2024
Organization subpart
Yes
Parent organization
JBC2 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Biju Cherian, MD
Title
Managing Partner
Phone
(505) 264-8120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4551 Vista Fuente Rd NW
Albuquerque, NM 87114-3800

Mailing address

PO Box 22566
Santa Fe, NM 87502-2566
Phone (505) 582-2906

National Provider Directory

National Provider Directory
Part of
Sandia View Fountain Hill LLC

Locations

4551 Vista Fuente Rd NW
Albuquerque, NM 87114
Phone (505) 582-2906

NPI Registry JSON

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1669209839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22566",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875022566",
            "telephone_number": "505-582-2906",
            "fax_number": "505-212-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 VISTA FUENTE RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871143800",
            "telephone_number": "505-582-2906",
            "fax_number": "505-212-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIA VIEW FOUNTAIN HILL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JBC2 LLC",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "CHERIAN",
        "authorized_official_first_name": "BIJU",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "505-264-8120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "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 Sep 19, 2024; 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.