FULL CIRCLE RECOVERY (NPI# 1427535251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427535251 |
Entity Type | Organization |
Organization Name | FULL CIRCLE RECOVERY |
Other Organization Name | FULL CIRCLE RECOVERY |
Practice Address |
3056 Frontier Ave. Ne Albuquerque NM 87106-8710 |
Mailing Address |
3056 Frontier Ave Ne Albuquerque NM 87106-2037 |
Practice Telephone | 5056206891 |
Mailing Telephone | 5056206891 |
Enumeration Date | 2018-07-24 |
Last Update Date | 2018-07-24 |
Authorized Official Name | MR. WILLIAM LOUIS GARBERINA (CEO/CLINICAL DIRECTOR) |
Authorized Official Telephone | 5056206891 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Full Circle Recovery | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942852074 | Full Circle Recovery | Substance Abuse Rehabilitation Facility | 139 Trakehner Pl, Norco, CA 92860-5153 | 2019-07-09 |
1306498431 | Full Circle Recovery | Substance Abuse Rehabilitation Facility | 765 Garden Grove Ave, Norco, CA 92860-2355 | 2019-07-09 |
1831562099 | Full Circle Recovery | Clinic/Center | 1860 Lampton Ln, Norco, CA 92860-3614 | 2015-11-09 |
Street Address |
3056 FRONTIER AVE. NE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87106-8710 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
Find all providers in zip 87106 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518505452 | Innovative Mat Solutions, LLC | Substance Abuse Rehabilitation Facility | 2215 Ambassador Rd Ne Apt 37, Albuquerque, NM 87112-2767 | 2019-12-11 |
1225509250 | Recovery House LLC | Substance Abuse Rehabilitation Facility | 9171 Glendale Ave Ne, Albuquerque, NM 87122-3805 | 2018-12-17 |
1386870137 | Dismas House Nm Inc. | Substance Abuse Rehabilitation Facility | 701 Candelaria Rd Nw, Albuquerque, NM 87107-2407 | 2009-06-08 |
1760621007 | Shadow Mountain LLC. | Substance Abuse Rehabilitation Facility | 5400 Gibson Blvd. S. E, 3rd Floor, Albuquerque, NM 87109 | 2009-02-10 |
1356527162 | Sobriety House | Substance Abuse Rehabilitation Facility | 126 General Chennault St Ne, Albuquerque, NM 87123-2515 | 2008-01-11 |
1104982099 | Albuquerque Health Care for The Homeless | Substance Abuse Rehabilitation Facility | 5817 Central Ave Nw, Albuquerque, NM 87105-1800 | 2006-12-28 |
1316003213 | Albuquerque Health Care for The Homeless | Substance Abuse Rehabilitation Facility | 502 Los Arboles Avenue Nw, Albuquerque, NM 87107 | 2006-12-28 |
1437521507 | Shadow Mountain LLC. | Substance Abuse Rehabilitation Facility | 5400 Gibson Blvd Se, Third Floor, Suite A, Albuquerque, NM 87108-4729 | 2015-10-28 |
1962896332 | Dds LLC | Substance Abuse Rehabilitation Facility | 6747 Academy Rd Ne, Suite A, Albuquerque, NM 87109-3384 | 2015-03-24 |
1487773792 | The Right Step of Albuquerque | Substance Abuse Rehabilitation Facility | 2625 Pennsylvania St Ne, Suite 500, Albuquerque, NM 87110-3615 | 2007-03-28 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87106 |
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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.