Active NPI
Rise Above, LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Albuquerque, NM
National Provider Identifier
1891090924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78307716 | Medicaid | NM |
Other names 1
- None
National Provider Directory
National Provider DirectoryNPI 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.