Transitional Lifestyles Community Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

TRANSITIONAL LIFESTYLES COMMUNITY INC.

Practice address

11000 Spain Rd NE
Blding D
Albuquerque, NM 87111-1883

Phone

(505) 262-4230

Fax

(505) 254-4664

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Terry Linn Mosley

Title

Vice President

Phone

(505) 262-4230

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TLC Other name

Locations

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992752471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 SPAIN RD NE",
            "address_2": "BLDING D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111883",
            "telephone_number": "505-262-4230",
            "fax_number": "505-254-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 SPAIN RD NE",
            "address_2": "BLDING D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111883",
            "telephone_number": "505-262-4230",
            "fax_number": "505-254-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONAL LIFESTYLES COMMUNITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LINN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "505-262-4230",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D-3235",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.