NPIMap

Organization Active NPI

Liferoots, Inc

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1689703191
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
01771248 Issued in NM
Legal business name
LIFEROOTS, INC
Practice address
1111 Menaul Blvd NE
Albuquerque, NM 87107-1614
Phone
(505) 255-5501
Fax
(505) 255-9971
NPI assigned
Mar 2, 2007
Reactivated
Apr 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Ms. Kathleen Mary Cates
Title
Ceo/President
Phone
(505) 255-5501

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 01771248 NM Primary
Developmental Disabilities Clinic/Center 261QD1600X PENDING NM
Hearing and Speech Clinic/Center 261QH0700X PENDING NM
Physical Therapy Clinic/Center 261QP2000X PENDING NM

Addresses

Primary practice location

1111 Menaul Blvd NE
Albuquerque, NM 87107-1614

Mailing address

1111 Menaul Blvd NE
Albuquerque, NM 87107-1614
Phone (505) 255-5501

Other identifiers 1

IdentifierTypeStateIssuer
D0886MedicaidNM

Other names 1

  • RCI, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Liferoots Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1689703191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071614",
            "telephone_number": "505-255-5501",
            "fax_number": "505-255-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071614",
            "telephone_number": "505-255-5501",
            "fax_number": "505-255-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEROOTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2025-04-25",
        "deactivation_date": "2025-02-27",
        "reactivation_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "CATES",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "505-255-5501",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "01771248",
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NM",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NM",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NM",
            "license": "PENDING",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D0886",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RCI, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 25, 2025; 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.