Halo Haven Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1P2209 Issued in NM

Legal business name

HALO HAVEN ALF LLC

Practice address

6108 Costa Blanca Ave NW
Albuquerque, NM 87114-5848

Phone

(505) 908-7144

Fax

(505) 717-1211

NPI assigned

Jun 29, 2012

Organization subpart

No

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

Authorized official

Name

Angel H McDowell, RN

Title

Administrative RN/Owner

Phone

(505) 908-7144

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1811251267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 CERRO LARGO PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141672",
            "telephone_number": "505-908-7144",
            "fax_number": "505-717-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 COSTA BLANCA AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145848",
            "telephone_number": "505-908-7144",
            "fax_number": "505-717-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO HAVEN ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "MCDOWELL",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATIVE RN/OWNER",
        "authorized_official_telephone_number": "505-908-7144",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "1P2209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Halliday, M.D.
• Virginia Mary Hallinan, M.D.
• Colleen Marie Hallock
• Mallory Hallstead, LMSW
• Jon Hallstrom
• Dawn M Halperin, LPCC
• Adam Halpern, MA, ATC, CSCS
• Natalie Halphen, RD,LD
• Darren Haltom, DDS MS
• Felix Tucker Haltom, DDS MS

• Assisted Living Facility in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Assisted Living Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.