Wilson Residential Care Services of NM LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WILSON RESIDENTIAL CARE SERVICES OF NM LLC

Practice address

901 Rio Grande Blvd NW Ste H260
Albuquerque, NM 87104-2068

Phone

(505) 896-8509

NPI assigned

Sep 2, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Dawnette Burns

Title

Member

Phone

(505) 896-8509

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1689074254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 RIO GRANDE BLVD NW STE H260",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042068",
            "telephone_number": "505-896-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RIO GRANDE BLVD NW STE H260",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042068",
            "telephone_number": "505-896-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON RESIDENTIAL CARE SERVICES OF NM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "DAWNETTE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "505-896-8509",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Willson-Ko
• Brandon Levi Wilmer, FNP-C
• Dana G Wilmot, RN
• Erika Carson Wilmot, LPCC
• Wilson Radiographic Center of Albuquerque, Inc
• Avory Wilson
• Brittany Wilson
• Bronwyn Wilson
• Calandra Alexis Wilson, BSW
• Carla S Wilson, MD, PHD

• Community/Behavioral Health Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.