Enchanted Living of New Mexico

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1T2271 Issued in NM

Legal business name

ENCHANTED LIVING OF NEW MEXICO

Practice address

6217 Wildflower Pass NE
Rio Rancho, NM 87144-6578

Phone

(505) 771-9098

NPI assigned

Apr 10, 2015

Organization subpart

No

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

Authorized official

Name

Miss Danielle Dacosta

Title

Administrator/Caregiver

Phone

(505) 771-9098

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1831585413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6217 WILDFLOWER PASS NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871446578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6217 WILDFLOWER PASS NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871446578",
            "telephone_number": "505-771-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCHANTED LIVING OF NEW MEXICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "DACOSTA",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR/CAREGIVER",
        "authorized_official_telephone_number": "505-771-9098",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "1T2271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Rio Rancho, NM
• Providers in Rio Rancho, 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 Apr 10, 2015; 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.