CORNUCOPIA INC. (NPI# 1407970999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407970999 |
| Entity Type | Organization |
| Organization Name | CORNUCOPIA INC. |
| Practice Address |
2002 Bridge Blvd Sw Albuquerque NM 87105-3104 |
| Practice Telephone | 5058771310 |
| Practice Fax Number | 5058737323 |
| Mailing Telephone | 5058771310 |
| Mailing Fax Number | 5058737323 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JON CARLO TRUJILLO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5058771310 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | CORNUCOPIA INCORPORATED | 39 Main St, Waltham, MA 02154 |
| Street Address |
2002 BRIDGE BLVD SW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87105-3104 |
| 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 | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021327 | Creative Work Solutions LLC | Day Training, Developmentally Disabled Services | 5338 Montgomery Blvd Ne Ste 400, Albuquerque, NM 87109-1342 | 2019-06-06 |
| 1881157683 | All About Us, LLC | Day Training, Developmentally Disabled Services | 1020 Edith Blvd Se Ste B-1, Albuquerque, NM 87102-4409 | 2019-04-09 |
| 1790167765 | Afrodite Fioravantes | Day Training, Developmentally Disabled Services | 6412 Cathy Ave Ne, Albuquerque, NM 87109-3642 | 2015-06-25 |
| 1336549278 | Artisan The Art of Instruction Inc | Day Training, Developmentally Disabled Services | 10335 Marin Dr Nw, Albuquerque, NM 87114-4194 | 2014-08-28 |
| 1750701462 | Lsg and Associates LLC | Day Training, Developmentally Disabled Services | 600 Camino Espanol Nw, Albuquerque, NM 87107-5817 | 2014-04-21 |
| 1386072866 | Bridges | Day Training, Developmentally Disabled Services | 1509 Los Jardines Place, Albuquerque, NM 87104 | 2013-10-22 |
| 1033456538 | Theyjas | Day Training, Developmentally Disabled Services | 9951 Carmel Ave Ne, Albuquerque, NM 87122-3037 | 2013-01-04 |
| 1255602090 | Evanna Rose Romero | Day Training, Developmentally Disabled Services | 9900 Spain Rd Ne Apt V2120, Albuquerque, NM 87111-8611 | 2012-01-25 |
| 1386933620 | A Center for Function and Creativity | Day Training, Developmentally Disabled Services | 10701 Corrales Blvd Nw, Suite 17, Albuquerque, NM 87114-1087 | 2011-04-06 |
| 1093011470 | New Dawn Caregivers | Day Training, Developmentally Disabled Services | 10624 Walnut Canyon Rd Sw, Albuquerque, NM 87121-2649 | 2011-02-02 |
| 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.