ONYX SUPPORTIVE LIVING LLC NPI 1255636221

NPI Information

  • NPI: 1255636221
  • Provider Name: ONYX SUPPORTIVE LIVING LLC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 5301 CROOKED CREEK AVE NW
    ALBUQUERQUE, NM
    ZIP 87114
  • Phone: (505) 792-1996

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NPI Details

ONYX SUPPORTIVE LIVING LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Albuquerque, NM. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. ONYX SUPPORTIVE LIVING LLC NPI is 1255636221. The provider is registered as an organization entity type.

The provider's business location address is:

5301 CROOKED CREEK AVE NW
ALBUQUERQUE, NM
ZIP 87114-193
Phone: (505) 792-1996
Fax: (505) 899-8251

The provider's authorized official is Melvin D Parker .
The authorized official title is Co-owner and has the following contact phone number (505) 720-2273.

The enumeration date for this NPI number is 1/21/2011 and was last updated on 1/21/2011.

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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities03159603007NEW 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: 11/21/2025

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