NPIMap

Organization Active NPI

Great Livin II LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Albuquerque, NM
National Provider Identifier
1912755398
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
GREAT LIVIN II LLC
Practice address
2400 Monroe St NE
Albuquerque, NM 87110-4063
Phone
(505) 246-6971
Fax
(505) 247-2191
NPI assigned
May 9, 2024
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Matt Poel
Title
Owner
Phone
(505) 246-6971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

2400 Monroe St NE
Albuquerque, NM 87110-4063

Mailing address

2400 Monroe St NE
Albuquerque, NM 87110-4063
Phone (505) 246-6971

Other practice location 1

4028 Mescalero Rd NE
Albuquerque, NM 87110-1754
Phone (505) 246-6971

Other practice location 2

617 Madeira Dr NE
Albuquerque, NM 87108-1417
Phone (505) 246-6971

National Provider Directory

National Provider Directory
Tax ID family
Great Livin II LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1912755398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MONROE ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104063",
            "telephone_number": "505-246-6971",
            "fax_number": "505-247-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MONROE ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104063",
            "telephone_number": "505-246-6971",
            "fax_number": "505-247-2191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4028 Mescalero Rd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871101754",
            "country_code": "US",
            "telephone_number": "505-246-6971",
            "fax_number": "505-247-2191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "617 Madeira Dr NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871081417",
            "country_code": "US",
            "telephone_number": "505-246-6971",
            "fax_number": "505-247-2191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREAT LIVIN II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "POEL",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-246-6971"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 13, 2024; 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.