Carefree Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

5647 Issued in NM

Legal business name

CAREFREE ASSISTED LIVING

Doing business as

Carefree Living

Practice address

10916 Juan Tabo PL NE
Albuquerque, NM 87111-3987

Phone

(505) 299-8000

Fax

(505) 299-8200

NPI assigned

Nov 13, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Estephanie Jane Petropoulos, RN

Title

RN

Phone

(505) 299-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carefree Living Doing business as

Locations

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1962682450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10916 JUAN TABO PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113987",
            "telephone_number": "505-299-8000",
            "fax_number": "505-299-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10916 JUAN TABO PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113987",
            "telephone_number": "505-299-8000",
            "fax_number": "505-299-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREFREE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "PETROPOULOS",
        "authorized_official_first_name": "ESTEPHANIE",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "505-299-8000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "5647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DISABLE/ELDERLY WAIVER NM AGING & LONG TERM SERVICES",
            "identifier": "37880268",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carefree Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Albuquerque, NM
• Providers in Albuquerque, 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 Jul 25, 2008; 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.