SOUTHWEST RESIDENTIAL LIVING (NPI# 1285801498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285801498 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST RESIDENTIAL LIVING |
| Other Organization Name | ROMA GARDENS |
| Practice Address |
1606 Roma Ave Ne Albuquerque NM 87106-4515 |
| Mailing Address |
5109 Menaul Blvd Ne Albuquerque NM 87110-3045 |
| Practice Telephone | 5058886200 |
| Mailing Telephone | 5058886200 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |
| Authorized Official Name | DELORES MORENO (PARTNER) |
| Authorized Official Telephone | 5058886200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Roma Gardens | Doing Business As Name - Organization |
| Street Address |
1606 ROMA AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-4515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508042797 | Casa De Rosa Assisted Living Facility | Custodial Care Facility | 10127 Guadalupe Trl Nw, Albuquerque, NM 87114-2014 | 2008-01-17 |
| 1902164585 | New Mexico Solutions | Custodial Care Facility | 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102-2367 | 2012-05-02 |
| 1023132685 | Alegria Family Services | Custodial Care Facility | 2921 Carlisle Blvd Ne, Suite 105, Albuquerque, NM 87110-2865 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093926297 | Sunflower Adult Day Care Inc. | Custodial Care Facility | 1700 N Main St, Las Cruces, NM 88001-1112 | 2007-05-28 |
| 1053446849 | Senior Living Systems Inc. | Custodial Care Facility | 3216 State Highway 47, Los Lunas, NM 87031-7544 | 2007-02-22 |
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on SOUTHWEST RESIDENTIAL LIVING.
| 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.