ARCA - TRUMBULL (NPI# 1336284165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336284165 |
| Entity Type | Organization |
| Organization Name | ARCA - TRUMBULL |
| Practice Address |
7100 Trumbull Ave Se Albuquerque NM 87108-3984 |
| Mailing Address |
11300 Lomas Blvd Ne Albuquerque NM 87112-5512 |
| Practice Telephone | 5053326814 |
| Practice Fax Number | 5053326800 |
| Mailing Telephone | 5053326814 |
| Mailing Fax Number | 5053326800 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. VINCE SMITH (DIRECTOR) |
| Authorized Official Telephone | 5053326814 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 5031 | NM | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | M0386 | 05 |
| Street Address |
7100 TRUMBULL AVE SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-3984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750947420 | Great Livin II LLC | Intermediate Care Facility, Mentally Retarded | 4028 Mescalero Rd Ne, Albuquerque, NM 87110-1754 | 2019-05-17 |
| 1295870020 | Arca - Copper Home | Intermediate Care Facility, Mentally Retarded | 9101 Copper Ave Ne, Albuquerque, NM 87123-1007 | 2007-02-20 |
| 1720123565 | Arca - Gun Club | Intermediate Care Facility, Mentally Retarded | 2404 Gun Club Rd Sw, Albuquerque, NM 87105-6326 | 2007-02-20 |
| 1043355878 | Arca - Gibson Home | Intermediate Care Facility, Mentally Retarded | 5605 Gibson Blvd Se, Albuquerque, NM 87108-4831 | 2007-02-20 |
| 1134264971 | Arca - Louisiana | Intermediate Care Facility, Mentally Retarded | 615 Louisiana Blvd Se, Albuquerque, NM 87108-3844 | 2007-02-20 |
| 1740325588 | Arca - Park | Intermediate Care Facility, Mentally Retarded | 1120 Louisiana Blvd Se, Albuquerque, NM 87108-5009 | 2007-02-20 |
| 1275678005 | Arca - South Valley | Intermediate Care Facility, Mentally Retarded | 2206 El Centro Familiar Blvd Sw, Albuquerque, NM 87105-4555 | 2007-02-20 |
| 1013067974 | Casa Angelica | Intermediate Care Facility, Mentally Retarded | 5629 Isleta Blvd Sw, Albuquerque, NM 87105-6623 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043688088 | Evershine Care, LLC | Intermediate Care Facility, Mentally Retarded | 4844 Calle Bella Ave, Las Cruces, NM 88012-7066 | 2015-09-08 |
| 1548474141 | New Horizons Casa Linda | Intermediate Care Facility, Mentally Retarded | 810 Avenue E, Carrizozo, NM 88301-0187 | 2007-05-10 |
| 1386773398 | Carc, Inc. | Intermediate Care Facility, Mentally Retarded | 902 W Cherry Ln, Carlsbad, NM 88220-8804 | 2007-03-05 |
| 1851428577 | Santa Maria El Mirador | Intermediate Care Facility, Mentally Retarded | 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 | 2007-02-28 |
| 1992830012 | Arca - Corrales | Intermediate Care Facility, Mentally Retarded | 181 East La Entrada, Corrales, NM 87048 | 2007-02-22 |
| 1700948999 | New Horizons Developmental Ctr Inc | Intermediate Care Facility, Mentally Retarded | 810 E Ave, Carrizozo, NM 88301 | 2006-12-14 |
| 1124189048 | New Mexico Department of Health | Intermediate Care Facility, Mentally Retarded | 84 Estancia Road, Belen, NM 87002 | 2006-12-13 |
| 1801282983 | Carc, Inc. Orchard Home 3 | Intermediate Care Facility, Mentally Retarded | 902 W Cherry Ln, Carlsbad, NM 88220-8804 | 2015-04-15 |
| 1992191076 | Carc, Inc. Orchard Home 2 | Intermediate Care Facility, Mentally Retarded | 902 W Cherry Ln, Carlsbad, NM 88220-8804 | 2015-04-15 |
| 1710373899 | Carc, Inc. Orchard Home 4 | Intermediate Care Facility, Mentally Retarded | 902 W Cherry Ln, Carlsbad, NM 88220-8804 | 2015-04-15 |
| Find all providers with the same taxonomy | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
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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.