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SOUTH VALLEY CARE CENTER LLC NPI 1124059084


NPI Information

NPI: 1124059084
Provider Name: SOUTH VALLEY CARE CENTER, LLC
Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization

CLIA Number: 32D0662614

Address:
1629 BOWE LN SW
ALBUQUERQUE, NM
ZIP 87105
Phone: (505) 877-2200
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SOUTH VALLEY CARE CENTER, LLC is a nursing facility intermediate care facility in Albuquerque, NM. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. SOUTH VALLEY CARE CENTER, LLC NPI is 1124059084. The provider is registered as an organization entity type.

The provider's business location address is:

1629 BOWE LN SW
ALBUQUERQUE, NM
ZIP 87105-772
Phone: (505) 877-2200
Fax: (505) 877-4654

The provider's authorized official is Hunter Greene .
The authorized official title is Managing Member and has the following contact phone number (505) 450-5612.

The CLIA number assigned to this NPI record is 32D0662614 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 7/21/2022.


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
1313M00000XNursing Facility/Intermediate Care FacilityAPPLIED FORNEW MEXICOYes

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: 5/5/2024

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