WELLESLEY CARE HOME LLC


Address: 3209 Wellesley Ct Ne, Albuquerque, NM 87107-4416
Phone: 5058898007

WELLESLEY CARE HOME LLC (NPI# 1285856286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285856286
Entity Type Organization
Organization Name WELLESLEY CARE HOME LLC
Practice Address 3209 Wellesley Ct Ne
Albuquerque
NM 87107-4416
Mailing Address 2705 Palo Verde Dr Ne
Albuquerque
NM 87112-2128
Practice Telephone 5058898007
Enumeration Date 2007-05-02
Last Update Date 2020-08-22
Authorized Official Name MICHELLE REEVES (ADMINISTRATOR)
Authorized Official Telephone 5054632475
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility 2109 NM Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NM 01889206 05

Office Location

Street Address 3209 WELLESLEY CT NE
City ALBUQUERQUE
State NM
Zip Code 87107-4416

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1982072443 Erik Robinson Social Worker 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 2015-09-14
1033505763 Sam Newmon Ma, Lpcc Counselor 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 2015-04-09
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

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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
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Competitor

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City ALBUQUERQUE
Zip Code 87107

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Dataset Information

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.

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