INDEPENDENT LIVING RESOURCE CENTER (NPI# 1427440650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427440650 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT LIVING RESOURCE CENTER |
| Practice Address |
1720 Louisiana Blvd., Ne Suite 204 Albuquerque NM 87110-7070 |
| Practice Telephone | 5052665022 |
| Practice Fax Number | 5052660294 |
| Mailing Telephone | 5052665022 |
| Mailing Fax Number | 5052660294 |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2019-04-18 |
| Authorized Official Name | MR. MICHAEL MURPHY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5052665022 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 78905737 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265095541 | Independent Living Resource Center | Home Health | 7950 S Lincoln Street, Suite 111e, Littleton, CO 80122-2727 | 2019-04-22 |
| 1548393143 | Independent Living Resource Center | Durable Medical Equipment & Medical Supplies | 3033 W 2nd St N, Wichita, KS 67203-5357 | 2007-03-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Independent Living Resource Center | 7950 S Lincoln Street, Ste 111e, Littleton, CO 80122 |
| Street Address |
1720 LOUISIANA BLVD., NE SUITE 204 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-7070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942619838 | Lisa Netuschil-karki | Technician | 1501 San Pedro Dr Se # 5, Albuquerque, NM 87108-5153 | 2014-08-05 |
| 1760699334 | Thi of New Mexico At En Su Casa LLC | Technician | 8820 Horizon Blvd Ne, Albuquerque, NM 87113-1689 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770102618 | Lisa Garcia | Technician | 148 West Valverde Rd., Corrales, NM 87048 | 2020-04-10 |
| 1548807795 | M-core Construction LLC | Technician | 1468 N Main St, Clovis, NM 88101-4743 | 2019-12-06 |
| 1700433257 | Debbie Kasiah | Technician | 1100 Belle St, Truth Or Consequences, NM 87901-3401 | 2019-08-20 |
| 1194932707 | Thi of New Mexico At En Su Casa LLC | Technician | 524 De Moss St, Suite 12, Lordsburg, NM 88045-2626 | 2007-05-16 |
| 1679651319 | Clovis Homecare, Inc. | Technician | 1944 W 21st St, Clovis, NM 88101-4026 | 2006-11-01 |
| 1073964649 | Elizabeth Lemus | Technician | 2626 Tuscan Hills Ln, Las Cruces, NM 88011-1809 | 2016-06-24 |
| 1629285135 | Thi of New Mexico At En Su Casa LLC | Technician | 1235 8th St, Las Vegas, NM 87701-4219 | 2007-05-16 |
| 1134336712 | Thi of New Mexico At En Su Casa LLC | Technician | 2029 Sagecrest Ave, Las Cruces, NM 88001-8044 | 2007-05-16 |
| City | ALBUQUERQUE |
| Zip Code | 87110 |
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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.