WHEATFIELDS SENIOR LIVING COMMUNITY (NPI# 1154683654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154683654 |
| Entity Type | Organization |
| Organization Name | WHEATFIELDS SENIOR LIVING COMMUNITY |
| Other Organization Name | WHEATFIELDS ASSISTED LIVING LLC |
| Practice Address |
4701 N Prince Street Clovis NM 88101 |
| Practice Telephone | 5757628700 |
| Practice Fax Number | 5757628701 |
| Mailing Telephone | 5757628700 |
| Mailing Fax Number | 5757628701 |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |
| Authorized Official Name | ERIC W. JACOBSEN (MEMBER) |
| Authorized Official Telephone | 5036753925 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | T1 2191 | NM | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Wheatfields Assisted Living LLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WHEATFIELDS SENIOR LIVING COMMUNITY | 560 First St Ste 104, Lake Oswego, OR 97034 |
| Street Address |
4701 N PRINCE STREET |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999702 | Apricot Mornings Inc | Assisted Living Facility | 783 Quincy Ave, Clovis, CA 93619-7668 | 2020-07-15 |
| 1619590734 | Unlimited Caring Group, Inc. | Assisted Living Facility | 2540 Paul Ave, Clovis, CA 93611-5329 | 2020-05-22 |
| 1124655956 | Evergreen Care Homes Inc | Assisted Living Facility | 825 W Ashlan Ave Ste 102, Clovis, CA 93612-4735 | 2020-03-23 |
| 1134620651 | Innovative Development & Living Solutions of California | Assisted Living Facility | 32 West Sierra Ave, Clovis, CA 93612 | 2018-02-21 |
| 1326595117 | Vanik & Arsen LLC | Assisted Living Facility | 250 Villa Ave, Clovis, CA 93612-0854 | 2016-09-08 |
| 1194032318 | Anjaleoni Enterprises Inc | Assisted Living Facility | 3086 Armstrong Ave, Clovis, CA 93611-5201 | 2010-09-09 |
| 1508173956 | Rosemary Homes | Assisted Living Facility | 1828 Santa Ana Ave, Clovis, CA 93611-4125 | 2010-09-07 |
| 1992028740 | Therapeutic Residential Services, Inc | Assisted Living Facility | 175 W Sierra Ave, Clovis, CA 93612-0283 | 2010-03-08 |
| 1033442272 | Senior Community Services | Assisted Living Facility | 200 Murray Dr, Clovis, NM 88101-4349 | 2009-09-04 |
| 1508020975 | Senior Citizen Resident Center | Assisted Living Facility | 2210 Marby Drive, Clovis, NM 88101-8306 | 2008-07-15 |
| Find all providers in CLOVIS | ||||
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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.