LIFE FAMILY HEALTHCARE, LLC (NPI# 1124470703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124470703 |
| Entity Type | Organization |
| Organization Name | LIFE FAMILY HEALTHCARE, LLC |
| Practice Address |
717 Encino Pl Ne Suite 4 Albuquerque NM 87102-2611 |
| Practice Telephone | 1505379394 |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |
| Authorized Official Name | MARILOU T LINATOC (CNP) |
| Authorized Official Telephone | 5053793941 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
CNP 01894 | NM | Ambulatory Health Care Facilities |
| Street Address |
717 ENCINO PL NE SUITE 4 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417945494 | Pharmacy Capital LLC | Pharmacy | 717 Encino Pl Ne, Ste 1, Albuquerque, NM 87102-2611 | 2005-10-12 |
| 1154874303 | Shannon Pitcher | Pharmacist | 717 Encino Pl Ne, Albuquerque, NM 87102-2611 | 2016-07-24 |
| 1942669460 | Aaahh Chirospa LLC | Chiropractor | 717 Encino Pl Ne, Ste 24, Albuquerque, NM 87102-2611 | 2016-02-11 |
| 1184082125 | Encino Dental Care, Inc. | Dental Hygienist | 717 Encino Pl Ne, Suite 7, Albuquerque, NM 87102-2611 | 2016-02-05 |
| 1093190936 | Scott Ricci | Pharmacist | 717 Encino Pl Ne, Albuquerque, NM 87102-2611 | 2015-07-21 |
| 1376925164 | George Chandran Md | Internal Medicine | 717 Encino Pl Ne, Suite 19, Albuquerque, NM 87102-2611 | 2015-06-29 |
| 1083092092 | Pamela Gutierrez | Registered Nurse | 717 Encino Pl Ne, Suite 28, Albuquerque, NM 87102-2611 | 2015-05-11 |
| 1881003648 | Kapil Grewal | Dentist | 717 Encino Pl Ne, Ste 6, Albuquerque, NM 87102-2624 | 2014-08-06 |
| 1922426295 | Tamela Szaloy | Pharmacist | 717 Encino Pl Ne, Albuquerque, NM 87102-2611 | 2014-04-02 |
| 1174883508 | Tirzah K Alva | Counselor | 717 Encino Pl Ne, Albuquerque, NM 87102-2611 | 2012-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591413 | Old Town Primary Care, Inc. | Clinic/Center | 501 14th St Nw, Albuquerque, NM 87104-1729 | 2019-11-01 |
| 1700269412 | Adler Medical LLC | Clinic/Center | 4241 Montgomery Blvd Ne, Albuquerque, NM 87109-1081 | 2015-06-30 |
| 1306158860 | Luma Kai, LLC | Clinic/Center | 3701 San Mateo Blvd Ne, Albuquerque, NM 87110-1230 | 2010-07-12 |
| 1225357981 | Lovelace Health System, Inc. | Clinic/Center | 11000 Broadway Blvd Se, Suite 1, Albuquerque, NM 87105-7469 | 2010-05-20 |
| 1124177696 | Torre D. Near D/b/a Statmed LLC | Clinic/Center | 3916 Carlisle Blvd Ne, Suite G, Albuquerque, NM 87107-4556 | 2007-01-10 |
| 1356405369 | St. Christopher Inc | Clinic/Center | 2800 San Mateo Blvd Ne, Suite 107, Albuquerque, NM 87110-3135 | 2006-12-21 |
| 1316545882 | Kingsley Clinic of New Mexico, LLC | Clinic/Center | 6300 Riverside Plaza Ln Nw Ste 100, Albuquerque, NM 87120-1908 | 2020-10-15 |
| 1902324692 | Turquoise Trail Primary Care LLC | Clinic/Center | 3825 Eubank Blvd Ne Ste C, Albuquerque, NM 87111-3559 | 2017-09-01 |
| 1831636687 | Nancy Elliott | Clinic/Center | 8300 Constitution Ne, Room 1303, Albuquerque, NM 87110 | 2017-01-31 |
| 1255784658 | Hippocare, Inc | Clinic/Center | 3911 4th St Nw Ste B, Albuquerque, NM 87107-2510 | 2016-07-20 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.