PUEBLO OF ISLETA ASSISTED LIVING FACILITY (NPI# 1184048423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184048423 |
| Entity Type | Organization |
| Organization Name | PUEBLO OF ISLETA ASSISTED LIVING FACILITY |
| Practice Address |
1001 Tribal Road 40 Isleta NM 87022 |
| Mailing Address |
Po Box 1270 Isleta NM 87022-1270 |
| Practice Telephone | 5058693111 |
| Practice Fax Number | 5058697596 |
| Mailing Telephone | 5058693111 |
| Mailing Fax Number | 5058697596 |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |
| Authorized Official Name | MR. EDDIE PAUL TORRES SR. (GOVERNOR) |
| Authorized Official Telephone | 5058693111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | NM | Nursing & Custodial Care Facilities | |
| Y | 310400000X | Assisted Living Facility | NM | Nursing & Custodial Care Facilities |
| Street Address |
1001 TRIBAL ROAD 40 |
| City | ISLETA |
| State | NM |
| Zip Code | 87022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669022851 | Roseann Garcia | Technician | Tr 41 House 1, Isleta, NM 87022 | 2019-09-19 |
| 1073027629 | Keely Justice Chavez | Registered Nurse | 01 Sagebrush St., Isleta, NM 87022 | 2017-11-18 |
| 1265775597 | Pearlyn Gail Tomosie | Family Medicine | 1 Sagebrush Street, Isleta, NM 87022 | 2013-04-04 |
| 1235471558 | Amber N. Vigil | Dietitian, Registered | 01 Sagebrush Rd., Isleta, NM 87022 | 2013-03-25 |
| 1326219007 | Nancy M Halonen | Registered Nurse | #1 Sagebrush Road, Isleta, NM 87022 | 2008-03-20 |
| 1811197346 | Attlee Becenti Benally | Podiatrist | 1 Sagebrush Rd., Isleta Pueblo Diabetic Clinic, Isleta, NM 87022 | 2007-07-23 |
| 1770708174 | Isleta Elderly Services | Home Health | Tribal Rd. 40 Bldg. 70, Isleta, NM 87022 | 2007-04-13 |
| 1194738328 | Pueblo of Isleta | Clinic/Center | 01 Sagebrush, Isleta, NM 87022 | 2006-08-15 |
| 1831169986 | John James Richter IIi | Dentist | 1 Sagebrush St, Isleta, NM 87022 | 2006-01-23 |
| 1649265711 | Jennifer Sandoval | Counselor | 01 Sagebrush Street, Isleta, NM 87022 | 2005-09-15 |
| Find all providers in zip 87022 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669096715 | Evershine Care Assisted Living | Assisted Living Facility | 1213 Juniper Ave, Las Cruces, NM 88001-2157 | 2020-06-04 |
| 1841830981 | Blue Horizon Properties, LLC | Assisted Living Facility | 2707 Spitz St, Las Cruces, NM 88005-1338 | 2020-01-07 |
| 1134766413 | Arca | Assisted Living Facility | 7317 Mesquite Wood Dr Nw, Albuquerque, NM 87120-4033 | 2019-12-05 |
| 1154962926 | Sina Assisted Living | Assisted Living Facility | 105 La Luna Pl, Belen, NM 87002-6122 | 2019-10-03 |
| 1548801517 | Brookdale Place of Albuquerque, LLC | Assisted Living Facility | 4910 Tramway Ridge Dr Ne, Albuquerque, NM 87111-8200 | 2019-10-01 |
| 1699337238 | Sterling Assisted Living Homes | Assisted Living Facility | 11 Victoria Ct, Roswell, NM 88201-3492 | 2019-07-03 |
| 1043870454 | Equal LLC | Assisted Living Facility | 207 Lagunitas Lane, Albuquerque, NM 87105 | 2019-06-18 |
| 1467016964 | Arca | Assisted Living Facility | 10768 Galaxia Park Dr Nw, Albuquerque, NM 87114-5168 | 2019-04-30 |
| 1346706637 | Rio Hive LLC | Assisted Living Facility | 4811 Hardware Dr Ne Ste D-1, Albuquerque, NM 87109-2023 | 2019-02-12 |
| 1710458997 | The New Beginnings Senior Living | Assisted Living Facility | 1331 Cuesta Abajo Ct Ne, Albuquerque, NM 87113-1453 | 2018-12-16 |
| Find all providers with the same taxonomy | ||||
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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.