Active NPI
Aldv, LLC
- Community/Behavioral Health Agency
- Las Cruces, NM
National Provider Identifier
1669955373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ALDV, LLC
- Practice address
- 4129 Calle de Estrellas
Las Cruces, NM 88012-7649 - Phone
- (575) 640-0742
- NPI assigned
- Sep 9, 2018
- 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
- Mrs. Anna LD Vendrely, LCSW
- Title
- Owner/Director
- Phone
- (575) 640-0742
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
4129 Calle de Estrellas
Las Cruces, NM 88012-7649
Mailing address
PO Box 3075
Mesilla Park, NM 88047-3075
Phone (575) 640-0742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200429000014 | NM | Part B Supplier - Clinic/Group Practice | 5890125140 |
Receives reassigned benefits from 1 practitioner Practice locations: Las Cruces, NM |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536451200000",
"number": "1669955373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3075",
"city": "MESILLA PARK",
"state": "NM",
"postal_code": "880473075",
"telephone_number": "575-640-0742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4129 CALLE DE ESTRELLAS",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880127649",
"telephone_number": "575-640-0742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALDV, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-09",
"last_updated": "2018-09-09",
"status": "A",
"authorized_official_last_name": "VENDRELY",
"authorized_official_first_name": "ANNA",
"authorized_official_middle_name": "LD",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "575-640-0742",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.