Organization Active NPI

Rise Above, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Albuquerque, NM
National Provider Identifier
1891090924
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
RISE ABOVE, LLC
Practice address
12744 Tomlinson Dr SE
12744 Tomlinson Dr SE
Albuquerque, NM 87123-3716
Phone
(505) 261-7416
Fax
(505) 298-2858
NPI assigned
Jan 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Mr. Hubert Nsona Ngabu I
Title
Owner
Phone
(505) 261-7416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

12744 Tomlinson Dr SE
12744 Tomlinson Dr SE
Albuquerque, NM 87123-3716

Mailing address

12744 Tomlinson Dr SE
Albuquerque, NM 87123-3716
Phone (505) 261-7416

Other identifiers 1

IdentifierTypeStateIssuer
78307716MedicaidNM

Other names 1

  • None Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1891090924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12744 TOMLINSON DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871233716",
            "telephone_number": "505-261-7416",
            "fax_number": "505-298-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12744 TOMLINSON DR SE",
            "address_2": "12744 TOMLINSON DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871233716",
            "telephone_number": "505-261-7416",
            "fax_number": "505-298-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE ABOVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "NGABU",
        "authorized_official_first_name": "HUBERT",
        "authorized_official_middle_name": "NSONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-261-7416",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78307716",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "5",
            "type": "Other 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 Jan 20, 2011; 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.