Organization Active NPI

House of Hearts

  • Mental Illness Community Based Residential Treatment Facility
  • Albuquerque, NM
National Provider Identifier
1720243173
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
FA0080936 Issued in NM
Legal business name
HOUSE OF HEARTS
Practice address
2612 Chelwood Park Blvd NE
Albuquerque, NM 87112-1978
Phone
(505) 506-7901
Fax
(505) 294-1278
NPI assigned
Jul 25, 2008
Organization subpart
Yes
Parent organization
HOUSE OF HEARTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
William S Keenan
Title
Director
Phone
(505) 977-2074

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WG0000X FA0080936 NM
Mental Illness Community Based Residential Treatment Facility 320800000X FA0080936 NM Primary

Addresses

Primary practice location

2612 Chelwood Park Blvd NE
Albuquerque, NM 87112-1978

Mailing address

2612 Chelwood Park Blvd NE
Albuquerque, NM 87112-1978
Phone (505) 506-7901

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1720243173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 CHELWOOD PARK BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121978",
            "telephone_number": "505-506-7901",
            "fax_number": "505-294-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 CHELWOOD PARK BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121978",
            "telephone_number": "505-506-7901",
            "fax_number": "505-294-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF HEARTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSE OF HEARTS",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-977-2074"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "NM",
            "license": "FA0080936",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NM",
            "license": "FA0080936",
            "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 25, 2008; 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.