HOUSE OF HEARTS (NPI# 1720243173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720243173 |
| Entity Type | Organization |
| Organization Name | HOUSE OF HEARTS |
| Practice Address |
2612 Chelwood Park Blvd Ne Albuquerque NM 87112-1978 |
| Practice Telephone | 5055067901 |
| Practice Fax Number | 5052941278 |
| Mailing Telephone | 5055067901 |
| Mailing Fax Number | 5052941278 |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |
| Authorized Official Name | WILLIAM S KEENAN (DIRECTOR) |
| Authorized Official Telephone | 5059772074 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOUSE OF HEARTS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
FA0080936 | NM | Nursing Service Providers |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | FA0080936 | NM | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | HOUSE OF HEARTS CARES LLC | 1129 Winchester Lane, North Liberty, IA 52317 |
| New York State Corporations | HOUSE OF HEARTS INC | 7128 5th Ave, Brooklyn, Ny 11209 |
| Street Address |
2612 CHELWOOD PARK BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112-1978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912448499 | Jennifer Harrison-sanchez | Community Based Residential Treatment Facility, Mental Illness | 9961 Academy Rd Nw, Albuquerque, NM 87114-4245 | 2017-03-16 |
| 1205219771 | Dismas House | Community Based Residential Treatment Facility, Mental Illness | 701 Candelaria, Albuquerque, NM 87108 | 2015-07-02 |
| 1598169930 | Sammy Martinez | Community Based Residential Treatment Facility, Mental Illness | 5310 Sequoia Rd Nw, Albuquerque, NM 87120-1249 | 2014-10-14 |
| 1285921569 | Transitional Living Services | Community Based Residential Treatment Facility, Mental Illness | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2011-07-07 |
| 1598069338 | Transitional Living Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2011-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831584192 | Eight Northern Indian Pueblos Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1130 Butterfly Rd., Taos, NM 87571 | 2015-04-03 |
| 1366712283 | Native American Behavioral Health Services P.C. | Community Based Residential Treatment Facility, Mental Illness | 3300 Box Canyon Ave, Suite A, Gallup, NM 87301-6940 | 2012-01-10 |
| 1508143652 | Pasos Adelante Behavioral Health Services | Community Based Residential Treatment Facility, Mental Illness | 101 Maguey Ct Ste 1, Sunland Park, NM 88063-9513 | 2011-11-03 |
| 1255621058 | Hobbs Recovery House | Community Based Residential Treatment Facility, Mental Illness | 218 W Lea St, Hobbs, NM 88240-5110 | 2011-04-13 |
| 1962720771 | The Willow Foundation | Community Based Residential Treatment Facility, Mental Illness | 1405 Madison Ave, Roswell, NM 88203-5535 | 2010-05-04 |
| 1720246051 | International Word of Faith Ministry | Community Based Residential Treatment Facility, Mental Illness | 1605 E Dunn St, Hobbs, NM 88240-6704 | 2008-05-22 |
| 1063563385 | Life Healing Center of Santa Fe | Community Based Residential Treatment Facility, Mental Illness | 25 Vista Point Rd, Santa Fe, NM 87508-7800 | 2007-01-15 |
| 1326136532 | El Rocky Mountain Management & Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 712 Rencher St, 316 West 7th Street, Clovis, NM 88101-6560 | 2006-10-11 |
| 1760026942 | Youth Health Associates, Inc. | Community Based Residential Treatment Facility, Mental Illness | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2019-10-31 |
| City | ALBUQUERQUE |
| Zip Code | 87112 |
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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.