ATRISCO LIGHTS LLC (NPI# 1215061684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215061684 |
| Entity Type | Organization |
| Organization Name | ATRISCO LIGHTS LLC |
| Practice Address |
1430 Atrisco Dr Nw Albuquerque NM 87105-1110 |
| Mailing Address |
6300 Montano Rd Nw Suite A 2 Albuquerque NM 87120-2151 |
| Practice Telephone | 5058908187 |
| Practice Fax Number | 5058998736 |
| Mailing Telephone | 5058908187 |
| Mailing Fax Number | 5058998736 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KATHLEEN MARY PFEIFER (OWNER MEMBER) |
| Authorized Official Telephone | 5058908187 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 5264 | NM | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | A0975 | 05 |
| Street Address |
1430 ATRISCO DR NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87105-1110 |
| 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 | 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 |
|---|---|---|---|---|
| 1134766413 | Arca | Assisted Living Facility | 7317 Mesquite Wood Dr Nw, Albuquerque, NM 87120-4033 | 2019-12-05 |
| 1548801517 | Brookdale Place of Albuquerque, LLC | Assisted Living Facility | 4910 Tramway Ridge Dr Ne, Albuquerque, NM 87111-8200 | 2019-10-01 |
| 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 |
| 1740751304 | The Woodmark At Uptown | Assisted Living Facility | 7201 Prospect Pl Ne, Albuquerque, NM 87110-4238 | 2018-12-07 |
| 1568943991 | Sandia Senior Suites LLC | Assisted Living Facility | 303 San Mateo Blvd Ne Ste 101, Albuquerque, NM 87108-1382 | 2018-08-23 |
| 1467972042 | Golden Hands Assisted Living Facility | Assisted Living Facility | 2613 Charleston St Ne, Albuquerque, NM 87110-3605 | 2017-06-23 |
| 1093268104 | Angel Wings | Assisted Living Facility | 19 Garden Park Cir Nw, Albuquerque, NM 87107-2655 | 2016-07-26 |
| Find all providers in ALBUQUERQUE | ||||
| 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.