SOUTH VALLEY CARE CENTER, LLC (NPI# 1124059084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124059084 |
| Entity Type | Organization |
| Organization Name | SOUTH VALLEY CARE CENTER, LLC |
| Practice Address |
1629 Bowe Ln Sw Albuquerque NM 87105-3772 |
| Mailing Address |
2155 Louisiana Blvd Ne Suite 10200 Albuquerque NM 87110-5409 |
| Practice Telephone | 5058772200 |
| Practice Fax Number | 5058774654 |
| Mailing Telephone | 5058810979 |
| Mailing Fax Number | 5058811189 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. HUNTER GREENE (MANAGING MEMBER) |
| Authorized Official Telephone | 5054505612 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | APPLIED FOR | NM | Nursing & Custodial Care Facilities |
| Street Address |
1629 BOWE LN SW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87105-3772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972981595 | Lovato and Associates Inc. | Family Medicine | 1629 Bowe Ln Sw, Albuquerque, NM 87105-3772 | 2015-05-14 |
| 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 | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164639027 | El Castillo Retirement Residences | Nursing Facility/Intermediate Care Facility | 250 E Alameda St, Santa Fe, NM 87501-2186 | 2007-05-17 |
| 1457456576 | Zia Home Care | Nursing Facility/Intermediate Care Facility | 144 Scottsdale Dr, Clovis, NM 88101-2739 | 2006-09-13 |
| 1730117722 | Los Alamos Retirement Center, Inc. | Nursing Facility/Intermediate Care Facility | 1011 Sombrillo Ct, Los Alamos, NM 87544-3246 | 2006-06-29 |
| 1043200454 | Brookhaven Nursing Home | Nursing Facility/Intermediate Care Facility | 813 4th St, Las Vegas, NM 87701-4422 | 2005-10-26 |
| 1114916319 | New Mexico Behavioral Health Institute | Nursing Facility/Intermediate Care Facility | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2005-10-19 |
| 1235132820 | Sierra Health Care Inc | Nursing Facility/Intermediate Care Facility | 1400 N Silver St, Truth Or Consequences, NM 87901-1957 | 2005-05-27 |
| 1356663298 | Mescalero Indian Hospital | Nursing Facility/Intermediate Care Facility | 318 Abalone Loop, Mescalero, NM 88340-0318 | 2010-02-19 |
| 1073749487 | South Central Colfax County Special Hospital District | Nursing Facility/Intermediate Care Facility | 615 Prospect Ave, Springer, NM 87747 | 2009-06-01 |
| 1871630665 | Miners Colfax Medical Center | Nursing Facility/Intermediate Care Facility | 900 S 6th St, Raton, NM 87740-4224 | 2007-01-31 |
| City | ALBUQUERQUE |
| Zip Code | 87105 |
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| 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.