Organization Active NPI

Singing Arrow Manor Inc.

  • Assisted Living Facility
  • Albuquerque, NM
National Provider Identifier
1861632572
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
5733 Issued in NM
Legal business name
SINGING ARROW MANOR INC.
Practice address
12904 Piru Blvd SE
Albuquerque, NM 87123-3852
Phone
(505) 293-7472
Fax
(505) 323-1784
NPI assigned
Feb 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Mr. Clavice Gordon Arnold Jr.
Title
Owner
Phone
(505) 463-2607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 5733 NM Primary

Addresses

Primary practice location

12904 Piru Blvd SE
Albuquerque, NM 87123-3852

Mailing address

13170 Central Ave SE Ste B
Suite B
Albuquerque, NM 87123-5588
Phone (505) 293-7472

Other identifiers 1

IdentifierTypeStateIssuer
81681364MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1861632572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13170 CENTRAL AVE SE STE B",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871235588",
            "telephone_number": "505-293-7472",
            "fax_number": "505-323-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12904 PIRU BLVD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871233852",
            "telephone_number": "505-293-7472",
            "fax_number": "505-323-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINGING ARROW MANOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "CLAVICE",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-463-2607",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "5733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81681364",
            "state": "NM"
        }
    ],
    "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 Feb 20, 2009; 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.