NPIMap

Organization Active NPI

Casa Mis Abuelos

  • Assisted Living Facility
  • Albuquerque, NM
National Provider Identifier
1689081432
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2182 Issued in NM
Legal business name
CASA MIS ABUELOS
Practice address
4916 Larchmont Dr NE
Albuquerque, NM 87111-2939
Phone
(505) 203-8695
Fax
(505) 369-1238
NPI assigned
Jul 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Authorized official

Name
Carlos Figueroa
Title
Administrator/Owner
Phone
(505) 203-8695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2182 NM Primary

Addresses

Primary practice location

4916 Larchmont Dr NE
Albuquerque, NM 87111-2939

Mailing address

4916 Larchmont Dr NE
Albuquerque, NM 87111-2939
Phone (505) 203-8695

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1689081432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4916 LARCHMONT DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112939",
            "telephone_number": "505-203-8695",
            "fax_number": "505-369-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4916 LARCHMONT DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112939",
            "telephone_number": "505-203-8695",
            "fax_number": "505-369-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA MIS ABUELOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "505-203-8695"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "2182",
            "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 Jul 14, 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.