NPIMap

Organization Active NPI

Alpine Assisted Living

  • Assisted Living Facility
  • Ruidoso, NM
National Provider Identifier
1992087092
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2178 Issued in NM
Legal business name
ALPINE ASSISTED LIVING
Practice address
1206 Mechem Dr
Ruidoso, NM 88345-7206
Phone
(575) 808-1656
NPI assigned
Sep 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Monica F Fisk, M.S.W
Title
Administrator
Phone
(575) 808-1656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2178 NM Primary

Addresses

Primary practice location

1206 Mechem Dr
Ruidoso, NM 88345-7206

Mailing address

1206 Mechem Dr
Ruidoso, NM 88345-7206
Phone (575) 808-1656

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1992087092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 MECHEM DR",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883457206",
            "telephone_number": "575-808-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 MECHEM DR",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883457206",
            "telephone_number": "575-808-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "FISK",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "575-808-1656",
        "authorized_official_credential": "M.S.W"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "2178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruidoso, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.