ALBUQUERQUE HEALTH CARE FOR THE HOMELESS (NPI# 1104982099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104982099 |
| Entity Type | Organization |
| Organization Name | ALBUQUERQUE HEALTH CARE FOR THE HOMELESS |
| Practice Address |
5817 Central Ave Nw Albuquerque NM 87105-1800 |
| Mailing Address |
Po Box 25445 Tierra Del Sol Albuquerque NM 87125-0445 |
| Practice Telephone | 5057665197 |
| Mailing Telephone | 5057665197 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2009-01-08 |
| Authorized Official Name | JENNIFER METZLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5057665197 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALBUQUERQUE HEALTH CARE FOR THE HOMELESS, INC. |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | VALUEOPTIONS IDENTIFIER | VNM30475NO | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679639694 | Albuquerque Health Care for The Homeless | Public Health or Welfare | Pob 25455, Albuquerque, NM 87125-0445 | 2006-12-28 |
| 1316003213 | Albuquerque Health Care for The Homeless | Substance Abuse Rehabilitation Facility | 502 Los Arboles Avenue Nw, Albuquerque, NM 87107 | 2006-12-28 |
| 1396801296 | Albuquerque Health Care for The Homeless | Substance Abuse Rehabilitation Facility | 7900 Bell Ave Se, Albuquerque, NM 87108-4123 | 2006-12-28 |
| Street Address |
5817 CENTRAL AVE NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87105-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278063 | Jacob Hill | Rehabilitation Practitioner | 2001-b El Centro Familiar Blvd Se, Albuqerque, NM 87105 | 2020-09-02 |
| 1083264824 | Kacie Rhodes | Technician | 515 Isleta Blvd Sw, Albuquerque, NM 87105 | 2019-09-13 |
| 1043870454 | Equal LLC | Assisted Living Facility | 207 Lagunitas Lane, Albuquerque, NM 87105 | 2019-06-18 |
| 1043792997 | Elizabeth Bennett | Counselor | 309 59th St Nw, Albuquerque, NM 87105 | 2018-09-06 |
| 1316439920 | Deann Nieto | Rehabilitation Practitioner | 2001b El Centro Familiar Blvd Sw, Albuquerque, NM 87105 | 2018-05-31 |
| 1487163457 | Karen Bejarano | Behavior Technician | 1847 Val Verde Rd Sw, Albuquerque, NM 87105 | 2017-09-21 |
| 1306360391 | Bendiciones Home Health Care | Home Health | 5500 Cleo Rd. Sw, Albuquerque, NM 87105 | 2017-08-01 |
| 1578927711 | Clarence Mills | Counselor | 1528 Five Points Rd Nw, Albuquerque, NM 87105 | 2016-04-13 |
| 1386024727 | Rachel Elaine Kadetz | Counselor | 1101 Lopez Rd. Sw, Albuquerque, NM 87105 | 2015-06-01 |
| 1598160772 | Sandra Jean Taylor | Lactation Consultant, Non-RN | 1305 Blake Rd Sw, Albuquerque, NM 87105 | 2014-10-30 |
| Find all providers in zip 87105 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505452 | Innovative Mat Solutions, LLC | Substance Abuse Rehabilitation Facility | 2215 Ambassador Rd Ne Apt 37, Albuquerque, NM 87112-2767 | 2019-12-11 |
| 1225509250 | Recovery House LLC | Substance Abuse Rehabilitation Facility | 9171 Glendale Ave Ne, Albuquerque, NM 87122-3805 | 2018-12-17 |
| 1427535251 | Full Circle Recovery | Substance Abuse Rehabilitation Facility | 3056 Frontier Ave. Ne, Albuquerque, NM 87106-8710 | 2018-07-24 |
| 1386870137 | Dismas House Nm Inc. | Substance Abuse Rehabilitation Facility | 701 Candelaria Rd Nw, Albuquerque, NM 87107-2407 | 2009-06-08 |
| 1760621007 | Shadow Mountain LLC. | Substance Abuse Rehabilitation Facility | 5400 Gibson Blvd. S. E, 3rd Floor, Albuquerque, NM 87109 | 2009-02-10 |
| 1356527162 | Sobriety House | Substance Abuse Rehabilitation Facility | 126 General Chennault St Ne, Albuquerque, NM 87123-2515 | 2008-01-11 |
| 1316003213 | Albuquerque Health Care for The Homeless | Substance Abuse Rehabilitation Facility | 502 Los Arboles Avenue Nw, Albuquerque, NM 87107 | 2006-12-28 |
| 1437521507 | Shadow Mountain LLC. | Substance Abuse Rehabilitation Facility | 5400 Gibson Blvd Se, Third Floor, Suite A, Albuquerque, NM 87108-4729 | 2015-10-28 |
| 1962896332 | Dds LLC | Substance Abuse Rehabilitation Facility | 6747 Academy Rd Ne, Suite A, Albuquerque, NM 87109-3384 | 2015-03-24 |
| 1487773792 | The Right Step of Albuquerque | Substance Abuse Rehabilitation Facility | 2625 Pennsylvania St Ne, Suite 500, Albuquerque, NM 87110-3615 | 2007-03-28 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87105 |
Please comment or provide details below to improve the information on ALBUQUERQUE HEALTH CARE FOR THE HOMELESS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.