BROOKDALE PLACE OF ALBUQUERQUE, LLC (NPI# 1548801517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548801517 |
| Entity Type | Organization |
| Organization Name | BROOKDALE PLACE OF ALBUQUERQUE, LLC |
| Practice Address |
4910 Tramway Ridge Dr Ne Albuquerque NM 87111-8200 |
| Practice Telephone | 5052719600 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | JOANNE K LESKOWICZ (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 4149185000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BROOKDALE SENIOR LIVING INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | DEPARTMENT OF HEALTH - OPERATOR'S LICENSE | 2162 | 01 |
| NM | DEPARTMENT OF HEALTH - OPERATOR'S LICENSE | 2161 | 01 |
| Other Name | Type Code |
|---|---|
| Brookdale Tramway Ridge | Doing Business As Name - Organization |
| Brookdale Tramway Ridge #2 | Doing Business As Name - Organization |
| Street Address |
4910 TRAMWAY RIDGE DR NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111-8200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438110 | Dehlen LLC | Counselor | 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 | 2018-08-22 |
| 1003313008 | Jessika Junick | Nurse Practitioner | 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 | 2018-04-07 |
| 1881113454 | Hayley Aragon-bell | Day Training/Habilitation Specialist | 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 | 2017-09-14 |
| 1750803326 | Sarah Mckenzie Ochoa | Day Training/Habilitation Specialist | 3916 Garcia St Ne, Albuquerque, NM 87111 | 2017-07-14 |
| 1285179549 | Family Dental Health Care | Dentist | 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 | 2016-12-22 |
| 1871036202 | Shobha Jagannath | Nurse Practitioner | 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 | 2016-12-03 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1184011082 | Adam Halpern | Specialist/Technologist | 4204 Parsifal St, Albuquerque, NM 87111 | 2015-04-20 |
| 1083015770 | Cvs Pharmacy | Public Health or Welfare | 5516 Camino Arbustos Ne, Albuquerque, NM 87111 | 2014-09-12 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in zip 87111 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134766413 | Arca | Assisted Living Facility | 7317 Mesquite Wood Dr Nw, Albuquerque, NM 87120-4033 | 2019-12-05 |
| 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 |
| 1093268104 | Angel Wings | Assisted Living Facility | 19 Garden Park Cir Nw, Albuquerque, NM 87107-2655 | 2016-07-26 |
| 1508228826 | Carefirst of Nm Inc | Assisted Living Facility | 1008 Chiricahua Ct Se, Albuquerque, NM 87123-5918 | 2016-03-25 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87111 |
Please comment or provide details below to improve the information on BROOKDALE PLACE OF ALBUQUERQUE, LLC.
| 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.