TRANSITIONAL LIVING SERVICES, INC. (NPI# 1598069338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598069338 |
| Entity Type | Organization |
| Organization Name | TRANSITIONAL LIVING SERVICES, INC. |
| Practice Address |
5601 Domingo Rd Ne Albuquerque NM 87108-1610 |
| Practice Telephone | 5052685295 |
| Practice Fax Number | 5052689967 |
| Mailing Telephone | 5052685295 |
| Mailing Fax Number | 5052689967 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |
| Authorized Official Name | MR. GARY JACKSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5052685295 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | I05341 | NM | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | TRANSITIONAL LIVING SERVICES, INC. | 50629 Tumbleweed Tr., Granger, IN 46530 |
| Street Address |
5601 DOMINGO RD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316098346 | Therapeutic Living Services, Inc. | Point of Service | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2007-01-16 |
| 1831715036 | Amanda R Chrisman- Replogle | Case Manager/Care Coordinator | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2020-06-23 |
| 1801418777 | Harmony Harrell | Case Manager/Care Coordinator | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2020-05-13 |
| 1578185708 | Sharon Osborn | Case Manager/Care Coordinator | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2020-05-11 |
| 1134758253 | Lauren Harris | Case Manager/Care Coordinator | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2020-04-02 |
| 1467089151 | Christopher York | Case Manager/Care Coordinator | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2020-03-24 |
| 1063048155 | Jon Bailey | Case Manager/Care Coordinator | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2020-03-20 |
| 1164054359 | Aurora Ortiz | Behavior Technician | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2020-02-06 |
| 1427696186 | Lucy M Brockman | Case Manager/Care Coordinator | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2019-12-12 |
| 1679114318 | Wendy Jones | Behavioral Analyst | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2019-10-03 |
| Find all providers in the same location | ||||
| 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 | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912448499 | Jennifer Harrison-sanchez | Community Based Residential Treatment Facility, Mental Illness | 9961 Academy Rd Nw, Albuquerque, NM 87114-4245 | 2017-03-16 |
| 1205219771 | Dismas House | Community Based Residential Treatment Facility, Mental Illness | 701 Candelaria, Albuquerque, NM 87108 | 2015-07-02 |
| 1598169930 | Sammy Martinez | Community Based Residential Treatment Facility, Mental Illness | 5310 Sequoia Rd Nw, Albuquerque, NM 87120-1249 | 2014-10-14 |
| 1285921569 | Transitional Living Services | Community Based Residential Treatment Facility, Mental Illness | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2011-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831584192 | Eight Northern Indian Pueblos Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1130 Butterfly Rd., Taos, NM 87571 | 2015-04-03 |
| 1366712283 | Native American Behavioral Health Services P.C. | Community Based Residential Treatment Facility, Mental Illness | 3300 Box Canyon Ave, Suite A, Gallup, NM 87301-6940 | 2012-01-10 |
| 1508143652 | Pasos Adelante Behavioral Health Services | Community Based Residential Treatment Facility, Mental Illness | 101 Maguey Ct Ste 1, Sunland Park, NM 88063-9513 | 2011-11-03 |
| 1255621058 | Hobbs Recovery House | Community Based Residential Treatment Facility, Mental Illness | 218 W Lea St, Hobbs, NM 88240-5110 | 2011-04-13 |
| 1962720771 | The Willow Foundation | Community Based Residential Treatment Facility, Mental Illness | 1405 Madison Ave, Roswell, NM 88203-5535 | 2010-05-04 |
| 1720246051 | International Word of Faith Ministry | Community Based Residential Treatment Facility, Mental Illness | 1605 E Dunn St, Hobbs, NM 88240-6704 | 2008-05-22 |
| 1063563385 | Life Healing Center of Santa Fe | Community Based Residential Treatment Facility, Mental Illness | 25 Vista Point Rd, Santa Fe, NM 87508-7800 | 2007-01-15 |
| 1326136532 | El Rocky Mountain Management & Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 712 Rencher St, 316 West 7th Street, Clovis, NM 88101-6560 | 2006-10-11 |
| 1760026942 | Youth Health Associates, Inc. | Community Based Residential Treatment Facility, Mental Illness | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2019-10-31 |
| 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.