GREGORY T. LYLES-DAVIS (NPI# 1831424050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831424050 |
| Entity Type | Organization |
| Organization Name | GREGORY T. LYLES-DAVIS |
| Practice Address |
632 Chama St Se Apt A Albuquerque NM 87108-3963 |
| Practice Telephone | 5052127466 |
| Practice Fax Number | 5053382330 |
| Mailing Telephone | 5052127466 |
| Mailing Fax Number | 5053382330 |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2009-10-06 |
| Authorized Official Name | MR. GREGORY T. LYLES-DAVIS (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 5052127466 |
| Is Organization Subpart | Y |
| Parent Organization Name | YDI-YOUTH DEVELOPMENT INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
632 CHAMA ST SE APT A |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-3963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659673465 | Kevin Ray Perea05 | Case Manager/Care Coordinator | 632 Chama St Se Apt A, Albuquerque, NM 87108-3963 | 2010-11-30 |
| 1366744179 | Amanda Gonzales | Case Manager/Care Coordinator | 632 Chama St Se Apt A, Albuquerque, NM 87108-3963 | 2010-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225513013 | World Assistance Network | Case Management | 6001 Sunset Gardens Rd Sw, Albuquerque, NM 87121-3252 | 2018-09-27 |
| 1144754656 | Eight Northern Indian Pueblos | Case Management | 2201 San Pedro Dr Ne Ste 220, Albuquerque, NM 87110-4133 | 2017-04-12 |
| 1982149043 | Professional Case Coordination Services LLC | Case Management | 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 | 2016-12-28 |
| 1700280161 | Arbor Counseling | Case Management | 2501 San Pedro Dr Ne Ste 203, Albuquerque, NM 87110-4122 | 2014-10-14 |
| 1174861744 | All Faiths Receiving Home | Case Management | 3001 Trellis Dr Nw, Albuquerque, NM 87107-2937 | 2013-01-16 |
| 1144519182 | Enchanted Healing of New Mexico, LLC | Case Management | 122 Bryn Mawr Dr Se, Albuquerque, NM 87106-2210 | 2011-03-30 |
| 1881900579 | Wesley & Edwin, LLC | Case Management | 221 Conchas St Ne, Albuquerque, NM 87123-2703 | 2010-08-19 |
| 1760795306 | Unique Opportunities Case Management | Case Management | 2325 San Pedro Dr Ne Ste 2d, Albuquerque, NM 87110-4120 | 2010-07-26 |
| 1063741254 | Medview | Case Management | 404 Solano Dr Se, Albuquerque, NM 87108-2652 | 2009-12-17 |
| 1912231945 | Medical Case Management, Inc. | Case Management | 6751 Academy Rd Ne, Suite C, Albuquerque, NM 87109-3386 | 2009-09-23 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
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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.