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CASA DE ROSA ASSISTED LIVING FACILITY NPI 1508042797


NPI Information

NPI: 1508042797
Provider Name: CASA DE ROSA ASSISTED LIVING FACILITY
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
10127 GUADALUPE TRL NW
ALBUQUERQUE, NM
ZIP 87114
Phone: (505) 897-2322
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CASA DE ROSA ASSISTED LIVING FACILITY is an adult care home custodial care facility in Albuquerque, NM. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. CASA DE ROSA ASSISTED LIVING FACILITY NPI is 1508042797. The provider is registered as an organization entity type.

The provider's business location address is:

10127 GUADALUPE TRL NW
ALBUQUERQUE, NM
ZIP 87114-014
Phone: (505) 897-2322

The provider's authorized official is Rudy J Chavez .
The authorized official title is Director and has the following contact phone number (505) 897-2322.

The enumeration date for this NPI number is 1/17/2008 and was last updated on 1/17/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care Home89351321Yes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
189351321MEDICAIDNEW 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

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