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SANDIA SENIOR SUITES LLC NPI 1568943991


NPI Information

NPI: 1568943991
Provider Name: SANDIA SENIOR SUITES LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 32D2204448

Address:
303 SAN MATEO BLVD NE STE 101
ALBUQUERQUE, NM
ZIP 87108
Phone: (505) 362-0825
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SANDIA SENIOR SUITES LLC is an assisted living facility in Albuquerque, NM. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SANDIA SENIOR SUITES LLC NPI is 1568943991. The provider is registered as an organization entity type.

The provider's business location address is:

303 SAN MATEO BLVD NE STE 101
ALBUQUERQUE, NM
ZIP 87108-382
Phone: (505) 362-0825

The provider's authorized official is Robert Cronin .
The authorized official title is Administrator and has the following contact phone number (505) 362-0825.

The CLIA number assigned to this NPI record is 32D2204448 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2018 and was last updated on 8/23/2018.


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
1310400000XAssisted Living Facility2281NEW 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: 11/14/2023

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