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LIFEROOTS INC NPI 1689703191


NPI Information

NPI: 1689703191
Provider Name: LIFEROOTS, INC

Former Legal Business Name: RCI, INC.

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1111 MENAUL BLVD NE
ALBUQUERQUE, NM
ZIP 87107
Phone: (505) 255-5501
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LIFEROOTS, INC is a community behavioral health in Albuquerque, NM. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. LIFEROOTS, INC NPI is 1689703191. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Rci, Inc..

The provider's business location address is:

1111 MENAUL BLVD NE
ALBUQUERQUE, NM
ZIP 87107-614
Phone: (505) 255-5501
Fax: (505) 255-9971

The provider's authorized official is Kathleen Mary Cates .
The authorized official title is Ceo/president and has the following contact phone number (505) 255-5501.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 3/8/2012.


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
1261QD1600XClinic/CenterDevelopmental DisabilitiesPENDINGNEW MEXICONo
2261QH0700XClinic/CenterHearing and SpeechPENDINGNEW MEXICONo
3261QP2000XClinic/CenterPhysical TherapyPENDINGNEW MEXICONo
4251S00000XCommunity/Behavioral Health01771248NEW MEXICOYes

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
1D0886MEDICAIDNEW 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: 11/14/2023

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