ALL FAITHS NPI 1093935959

NPI Information

NPI: 1093935959
Provider Name: ALL FAITHS

Former Legal Business Name: ALL FAITHS RECEIVING HOME, INC.

Classification: Clinic/Center - 261QR0800X
Entity Type: Organization

Specialization: Recovery Care

Address:
1709 MOON ST NE
ALBUQUERQUE, NM
ZIP 87112
Phone: (505) 271-0329
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ALL FAITHS is a recovery care clinic center in Albuquerque, NM. ALL FAITHS NPI is 1093935959. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is All Faiths Receiving Home, Inc..

The provider's business location address is:

1709 MOON ST NE
ALBUQUERQUE, NM
ZIP 87112-935
Phone: (505) 271-0329
Fax: (505) 271-4957

The provider's authorized official is Krisztina Ford .
The authorized official title is Ceo/president and has the following contact phone number (505) 271-0329.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 7/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	M1099	NEW MEXICO	No
2	261QR0800X	Clinic/Center	Recovery Care	M1099	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	65224086	MEDICAID	NEW MEXICO
2	M1099	MEDICAID	NEW MEXICO
3	NM600027	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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