LIFEROOTS, INC (NPI# 1689703191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689703191 |
| Entity Type | Organization |
| Organization Name | LIFEROOTS, INC |
| Other Organization Name | RCI, INC. |
| Practice Address |
1111 Menaul Blvd Ne Albuquerque NM 87107-1614 |
| Practice Telephone | 5052555501 |
| Practice Fax Number | 5052559971 |
| Mailing Telephone | 5052555501 |
| Mailing Fax Number | 5052559971 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2012-03-08 |
| Authorized Official Name | MS. KATHLEEN MARY CATES (CEO/PRESIDENT) |
| Authorized Official Telephone | 5052555501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
PENDING | NM | Ambulatory Health Care Facilities |
| N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
PENDING | NM | Ambulatory Health Care Facilities |
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PENDING | NM | Ambulatory Health Care Facilities |
| Y | 251S00000X | Community/Behavioral Health | 01771248 | NM | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | D0886 | 05 |
| Other Name | Type Code |
|---|---|
| RCI, Inc. | Former Legal Business Name - Organization |
| Street Address |
1111 MENAUL BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87107-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114063328 | Mary Anne Becker | Speech-Language Pathologist | 1111 Menaul Blvd Ne, Albuquerque, NM 87107-1614 | 2007-01-29 |
| 1902328354 | Eric Hokanson Physical Therapy, LLC | Physical Therapist | 1111 Menaul Blvd Ne, Albuquerque, NM 87107-1614 | 2017-07-07 |
| 1134424732 | Sarah Marie Lancaster | Social Worker | 1111 Menaul Blvd Ne, Albuquerque, NM 87110 | 2011-01-13 |
| 1609170307 | Laura Baum White | Physical Therapist | 1111 Menaul Blvd Ne, Albuquerque, NM 87107-1614 | 2011-01-10 |
| 1407171630 | Leticia H Sotelo | Counselor | 1111 Menaul Blvd Ne, Albuquerque, NM 87107 | 2010-03-31 |
| 1376867838 | Angela Marie Valdez | Case Manager/Care Coordinator | 1111 Menaul Blvd Ne, Albuquerque, NM 87107-1614 | 2010-03-26 |
| 1205150844 | Melissa Dunworth | Day Training/Habilitation Specialist | 1111 Menaul Blvd Ne, Albuquerque, NM 87107 | 2010-03-25 |
| 1740504489 | Andrea Johnson | Counselor | 1111 Menaul Blvd Ne, Albuquerque, NM 87107-1614 | 2010-03-24 |
| 1629392303 | Stephanie Pino | Community Health Worker | 1111 Menaul Blvd Ne, Albuquerque, NM 87107-1614 | 2010-03-24 |
| 1093039737 | Kimberly Chavez | Community Health Worker | 1111 Menaul Blvd Ne, Albuquerque, NM 87107-1614 | 2010-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589785 | Benjamin Argant | Behavior Technician | 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 | 2020-08-20 |
| 1679138861 | Susan Luna, Lpcc LLC | Counselor | 3221 B Candelaria Ne, Albuquerque, NM 87107 | 2019-05-03 |
| 1407310881 | Eleanor Cloe Tibbetts | Speech-Language Pathologist | 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 | 2019-01-30 |
| 1386174829 | Triple D Medical Transportation, LLC. | Secured Medical Transport (VAN) | 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 | 2017-06-18 |
| 1487100715 | Kayleen Weinandt | Community/Behavioral Health | 3301 Los Arboles Ne, Albuquerque, NM 87107 | 2016-08-28 |
| 1811345549 | Inverse Medical, LLC | Non-emergency Medical Transport (VAN) | 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 | 2016-06-03 |
| 1710349220 | Evolv Strong, LLC | Specialist/Technologist | 3201 Candelaria Rd Ne, Albuquerque, NM 87107 | 2016-03-23 |
| 1982072443 | Erik Robinson | Social Worker | 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 | 2015-09-14 |
| 1033505763 | Sam Newmon Ma, Lpcc | Counselor | 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 | 2015-04-09 |
| 1760896203 | Jocelyn Fiaschetti | Social Worker | 7704 4th Street Nw, Albuquerque, NM 87107 | 2014-06-12 |
| Find all providers in zip 87107 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| 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 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87107 |
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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.