WILSON RESIDENTIAL CARE SERVICES OF NM LLC (NPI# 1689074254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689074254 |
| Entity Type | Organization |
| Organization Name | WILSON RESIDENTIAL CARE SERVICES OF NM LLC |
| Practice Address |
901 Rio Grande Blvd Nw Ste H260 Albuquerque NM 87104-2068 |
| Practice Telephone | 5058968509 |
| Mailing Telephone | 5058968509 |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |
| Authorized Official Name | MS. DAWNETTE BURNS (MEMBER) |
| Authorized Official Telephone | 5058968509 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | NM | Agencies | |
| Y | 251S00000X | Community/Behavioral Health | NM | Agencies |
| Street Address |
901 RIO GRANDE BLVD NW STE H260 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87104-2068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839639 | Alicia Lovato | Pharmacist | 1731 Towner Ave Nw, Albuquerque, NM 87104 | 2017-09-05 |
| 1649650797 | Anna Marie L Dinallo | Counselor | 1602 Escalante Ave, Albuquerque L, NM 87104 | 2015-06-04 |
| 1487057246 | Larry Steve Archuleta Sr. Sr. | Counselor | 1611 Central Nw, Alb., NM 87104 | 2014-10-07 |
| 1386072866 | Bridges | Day Training, Developmentally Disabled Services | 1509 Los Jardines Place, Albuquerque, NM 87104 | 2013-10-22 |
| 1275974792 | Mary R. Gomez | Counselor | 1611 Central Ave. Nw, Albuq, NM 87104 | 2013-07-12 |
| 1861727992 | Corrianne H Broner | Counselor | 1208 Claire Court Nw, Albuquerque, NM 87104 | 2009-10-07 |
| 1578711545 | Raymond Louis Zoumar | Anesthesiology | 2312 Campbell Rd Nw, Albuquerque, NM 87104 | 2008-09-03 |
| 1972785756 | Rochelle Young | Counselor | 1316- A Granite Ave. Nw, Albuquerque, NM 87104 | 2007-12-03 |
| 1023134699 | Elizabeth Anne Ferrell | Dental Hygienist | 400 San Felipe Nw, Suite F, Albuquerque, NM 87104 | 2007-03-22 |
| 1366566705 | Abq Home Health Care Inc. | Home Health | 1600 Lomas Blvd Nw, Suite B, Albuquerque, NM 87104 | 2007-03-19 |
| Find all providers in zip 87104 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345328 | The People's Counseling and Consulting, LLC | Community/Behavioral Health | 4718 Idlewilde Ln Se, Albuquerque, NM 87108-3424 | 2020-10-28 |
| 1689271413 | Thriving Mind LLC | Community/Behavioral Health | 4612 Huyana Dr Nw, Albuquerque, NM 87120-5597 | 2020-10-05 |
| 1922612951 | Connections Counseling LLC | Community/Behavioral Health | 11920 Dahlia Ave Se, Albuquerque, NM 87123-2470 | 2020-09-08 |
| 1396360871 | Integrity Behavior Improvement Services, LLC | Community/Behavioral Health | 1916 Amherst Dr Ne, Albuquerque, NM 87106-1105 | 2020-06-10 |
| 1023647096 | Inner Peace Outreach LLC | Community/Behavioral Health | 3107 San Mateo Blvd Ne, Albuquerque, NM 87110-1921 | 2020-04-02 |
| 1285278242 | Albuquerque United LLC | Community/Behavioral Health | 1100 4th St Nw Ste A, Albuquerque, NM 87102-1416 | 2019-11-03 |
| 1376184150 | True Color Counseling, LLC | Community/Behavioral Health | 3539 Thaxton Ave Se # 3, Albuquerque, NM 87106-1628 | 2019-10-03 |
| 1164073102 | The Growth Place, LLC | Community/Behavioral Health | 301 Graceland Dr Se Ste B, Albuquerque, NM 87108-2778 | 2019-09-20 |
| 1952960312 | Love Is Healing, LLC | Community/Behavioral Health | 120 Dartmouth Dr Se Apt D, Albuquerque, NM 87106-2261 | 2019-06-10 |
| 1144786146 | Seed To Tree Counseling, LLC | Community/Behavioral Health | 104 Serenity Hills Pl Se, Albuquerque, NM 87123-3970 | 2019-02-14 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87104 |
Please comment or provide details below to improve the information on WILSON RESIDENTIAL CARE SERVICES OF NM LLC.
| 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.