MANDY'S SPECIAL FARM (NPI# 1154625275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154625275 |
| Entity Type | Organization |
| Organization Name | MANDY'S SPECIAL FARM |
| Other Organization Name | MANDY'S |
| Practice Address |
346 Clark Rd Sw Albuquerque NM 87105-7546 |
| Practice Telephone | 5058731187 |
| Practice Fax Number | 5055036832 |
| Mailing Telephone | 5058731187 |
| Mailing Fax Number | 5055036832 |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2012-02-28 |
| Authorized Official Name | RUTHIE ROBBINS (PRESIDENT) |
| Authorized Official Telephone | 5058731187 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 02416649009 | NM | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 32408382 | 05 |
| Other Name | Type Code |
|---|---|
| Mandy's | Doing Business As Name - Organization |
| Street Address |
346 CLARK RD SW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87105-7546 |
| 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 | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437659638 | Tender Loving Care Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10213 Belnap Pl Nw, Albuquerque, NM 87114-4682 | 2018-02-15 |
| 1609382910 | Heartwell Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4123 Eubank Blvd Ne, Albuquerque, NM 87111-3421 | 2017-12-21 |
| 1255843330 | Janyce Wallace | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7700 Ranchwood Dr Nw, Albuquerque, NM 87120-4020 | 2017-10-30 |
| 1255636221 | Onyx Supportive Living LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5301 Crooked Creek Ave Nw, Albuquerque, NM 87114-4193 | 2011-01-21 |
| 1902072697 | Great Livin', LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4213 Ponderosa Ave Ne, Albuquerque, NM 87110-1031 | 2008-05-02 |
| 1588876932 | Providence Support Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8328 Calle Primera Nw, Albuquerque, NM 87120-5386 | 2007-05-05 |
| 1194859306 | The New Beginnings LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6200 Seagull St Ne Ste F, Albuquerque, NM 87109-2547 | 2007-03-16 |
| 1033288626 | Dungarvin New Mexico LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2309 Renard Pl Se Ste 205, Albuquerque, NM 87106-4284 | 2006-11-07 |
| 1992752471 | Transitional Lifestyles Community Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11000 Spain Rd Ne, Blding D, Albuquerque, NM 87111-1883 | 2006-05-28 |
| 1174740856 | Su Vida Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3150 Carlisle Blvd Ne, Suite #206, Albuquerque, NM 87110-1678 | 2007-04-20 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87105 |
Please comment or provide details below to improve the information on MANDY'S SPECIAL FARM.
| 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.