Abal, LCC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ABAL, LCC

Doing business as

Autumn Blessings

Practice address

400 Sunset
Logan, NM 88426-9681

Phone

(575) 487-2300

Fax

(575) 487-2302

NPI assigned

Apr 10, 2019

Last updated

Apr 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jeanell Willis

Title

Administrator

Phone

(575) 487-2300

Specialties & licenses 1

Addresses

Other names 1

• Autumn Blessings Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1891258539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SUNSET",
            "city": "LOGAN",
            "state": "NM",
            "postal_code": "884269681",
            "telephone_number": "575-487-2300",
            "fax_number": "575-487-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SUNSET",
            "city": "LOGAN",
            "state": "NM",
            "postal_code": "884269681",
            "telephone_number": "575-487-2300",
            "fax_number": "575-487-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABAL, LCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "JEANELL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "575-487-2300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwillis@autumnblessings.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "400 Sunset",
            "city": "Logan",
            "state": "NM",
            "country_code": "US",
            "postal_code": "884269681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Autumn Blessings",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Autumn Blessings Assistd Living, LLC (Autumn Blessings Assisted Living)
• Joyce Elaine Feerer, CNP
• Jenna Lindsay Gorman, RN
• Logan Family Practice, LLC
• Sharon Darlene Oliver, RN, WOCRN

• Assisted Living Facility in Logan, NM
• Providers in Logan, 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, 2019; 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.