TRANSITIONAL LIFESTYLES COMMUNITY INC. (NPI# 1992752471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992752471 |
| Entity Type | Organization |
| Organization Name | TRANSITIONAL LIFESTYLES COMMUNITY INC. |
| Other Organization Name | TLC |
| Practice Address |
11000 Spain Rd Ne Blding D Albuquerque NM 87111-1883 |
| Practice Telephone | 5052624230 |
| Practice Fax Number | 5052544664 |
| Mailing Telephone | 5052624230 |
| Mailing Fax Number | 5052544664 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TERRY LINN MOSLEY (VICE PRESIDENT) |
| Authorized Official Telephone | 5052624230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | D-3235 | 05 |
| Other Name | Type Code |
|---|---|
| TLC | Other Name - Individual/Organization |
| Street Address |
11000 SPAIN RD NE BLDING D |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111-1883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442860 | Karina R Buttler-pena | Behavior Technician | 11000 Spain Rd Ne, Albuquerque, NM 87111-1883 | 2020-09-18 |
| 1083246045 | Ayshia Caldwell | Behavior Technician | 11000 Spain Rd Ne, Albuquerque, NM 87111-1883 | 2020-02-07 |
| 1295367258 | Rachel Elumba | Behavior Technician | 11000 Spain Rd Ne, Albuquerque, NM 87111-1883 | 2020-02-07 |
| 1447882410 | Kiah Sherif | Behavior Technician | 11000 Spain Rd Ne, Albuquerque, NM 87111-1883 | 2020-02-07 |
| 1548892615 | Beatrice Heredia | Behavior Technician | 11000 Spain Rd Ne, Albuquerque, NM 87111-1883 | 2020-02-06 |
| 1629609409 | Nishia Toledo | Behavior Technician | 11000 Spain Rd Ne, Albuquerque, NM 87111-1883 | 2020-01-30 |
| 1447897970 | Stephanie Montoya | Behavior Technician | 11000 Spain Rd Ne, Albuquerque, NM 87111-1883 | 2019-12-03 |
| 1396380499 | Annastashea Weeding | Behavior Technician | 11000 Spain Rd Ne, Albuquerque, NM 87111-1883 | 2019-11-12 |
| 1811346273 | Terrier, LLC | Home Health | 11000 Spain Rd Ne, Bldg B, Albuquerque, NM 87111-1883 | 2016-06-07 |
| 1154794402 | Jocelyn Tate | Specialist | 11000 Spain Rd Ne, E, Albuquerque, NM 87111-1883 | 2015-11-09 |
| Find all providers in the same location | ||||
| 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 | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437659638 | Tender Loving Care Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10213 Belnap Pl Nw, Albuquerque, NM 87114-4682 | 2018-02-15 |
| 1609382910 | Heartwell Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4123 Eubank Blvd Ne, Albuquerque, NM 87111-3421 | 2017-12-21 |
| 1255843330 | Janyce Wallace | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7700 Ranchwood Dr Nw, Albuquerque, NM 87120-4020 | 2017-10-30 |
| 1255636221 | Onyx Supportive Living LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5301 Crooked Creek Ave Nw, Albuquerque, NM 87114-4193 | 2011-01-21 |
| 1154625275 | Mandy's Special Farm | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 346 Clark Rd Sw, Albuquerque, NM 87105-7546 | 2011-01-04 |
| 1902072697 | Great Livin', LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4213 Ponderosa Ave Ne, Albuquerque, NM 87110-1031 | 2008-05-02 |
| 1588876932 | Providence Support Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8328 Calle Primera Nw, Albuquerque, NM 87120-5386 | 2007-05-05 |
| 1194859306 | The New Beginnings LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6200 Seagull St Ne Ste F, Albuquerque, NM 87109-2547 | 2007-03-16 |
| 1033288626 | Dungarvin New Mexico LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2309 Renard Pl Se Ste 205, Albuquerque, NM 87106-4284 | 2006-11-07 |
| 1174740856 | Su Vida Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3150 Carlisle Blvd Ne, Suite #206, Albuquerque, NM 87110-1678 | 2007-04-20 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87111 |
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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.