WILSON RESIDENTIAL CARE SERVICES OF NM LLC


Address: 901 Rio Grande Blvd Nw Ste H260, Albuquerque, NM 87104-2068
Phone: 5058968509

WILSON RESIDENTIAL CARE SERVICES OF NM LLC (NPI# 1689074254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689074254
Entity Type Organization
Organization Name WILSON RESIDENTIAL CARE SERVICES OF NM LLC
Practice Address 901 Rio Grande Blvd Nw Ste H260
Albuquerque
NM 87104-2068
Practice Telephone 5058968509
Mailing Telephone 5058968509
Enumeration Date 2014-09-02
Last Update Date 2014-09-02
Authorized Official Name MS. DAWNETTE BURNS (MEMBER)
Authorized Official Telephone 5058968509
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 253Z00000X In Home Supportive Care NM Agencies
Y 251S00000X Community/Behavioral Health NM Agencies

Office Location

Street Address 901 RIO GRANDE BLVD NW STE H260
City ALBUQUERQUE
State NM
Zip Code 87104-2068

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053839639 Alicia Lovato Pharmacist 1731 Towner Ave Nw, Albuquerque, NM 87104 2017-09-05
1649650797 Anna Marie L Dinallo Counselor 1602 Escalante Ave, Albuquerque L, NM 87104 2015-06-04
1487057246 Larry Steve Archuleta Sr. Sr. Counselor 1611 Central Nw, Alb., NM 87104 2014-10-07
1386072866 Bridges Day Training, Developmentally Disabled Services 1509 Los Jardines Place, Albuquerque, NM 87104 2013-10-22
1275974792 Mary R. Gomez Counselor 1611 Central Ave. Nw, Albuq, NM 87104 2013-07-12
1861727992 Corrianne H Broner Counselor 1208 Claire Court Nw, Albuquerque, NM 87104 2009-10-07
1578711545 Raymond Louis Zoumar Anesthesiology 2312 Campbell Rd Nw, Albuquerque, NM 87104 2008-09-03
1972785756 Rochelle Young Counselor 1316- A Granite Ave. Nw, Albuquerque, NM 87104 2007-12-03
1023134699 Elizabeth Anne Ferrell Dental Hygienist 400 San Felipe Nw, Suite F, Albuquerque, NM 87104 2007-03-22
1366566705 Abq Home Health Care Inc. Home Health 1600 Lomas Blvd Nw, Suite B, Albuquerque, NM 87104 2007-03-19
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396345328 The People's Counseling and Consulting, LLC Community/Behavioral Health 4718 Idlewilde Ln Se, Albuquerque, NM 87108-3424 2020-10-28
1689271413 Thriving Mind LLC Community/Behavioral Health 4612 Huyana Dr Nw, Albuquerque, NM 87120-5597 2020-10-05
1922612951 Connections Counseling LLC Community/Behavioral Health 11920 Dahlia Ave Se, Albuquerque, NM 87123-2470 2020-09-08
1396360871 Integrity Behavior Improvement Services, LLC Community/Behavioral Health 1916 Amherst Dr Ne, Albuquerque, NM 87106-1105 2020-06-10
1023647096 Inner Peace Outreach LLC Community/Behavioral Health 3107 San Mateo Blvd Ne, Albuquerque, NM 87110-1921 2020-04-02
1285278242 Albuquerque United LLC Community/Behavioral Health 1100 4th St Nw Ste A, Albuquerque, NM 87102-1416 2019-11-03
1376184150 True Color Counseling, LLC Community/Behavioral Health 3539 Thaxton Ave Se # 3, Albuquerque, NM 87106-1628 2019-10-03
1164073102 The Growth Place, LLC Community/Behavioral Health 301 Graceland Dr Se Ste B, Albuquerque, NM 87108-2778 2019-09-20
1952960312 Love Is Healing, LLC Community/Behavioral Health 120 Dartmouth Dr Se Apt D, Albuquerque, NM 87106-2261 2019-06-10
1144786146 Seed To Tree Counseling, LLC Community/Behavioral Health 104 Serenity Hills Pl Se, Albuquerque, NM 87123-3970 2019-02-14
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Competitor

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City ALBUQUERQUE
Zip Code 87104

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Dataset Information

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.

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