Providence Support Services Inc. in Albuquerque - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Providence Support Services Inc. - NPI 1588876932
Providence Support Services Inc. is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Albuquerque, New Mexico. Providence Support Services Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Providence Support Services Inc. is 1588876932. The last update date is 2020-08-22.
Providence Support Services Inc.'s current location address is 8328 Calle Primera Nw, Albuquerque, New Mexico. You can contact this provider via phone number 5058989435 and fax number 5058989052. The mailing address for Providence Support Services Inc. is 8328 Calle Primera Nw, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Support Services Inc. |
|---|---|
| Address | 8328 Calle Primera Nw, Albuquerque, New Mexico |
| Phone Number | 5058989435 |
| Fax Number | 5058989052 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Rodden Marie Annette |
| Credentials | LMSW |
| Telephone Number | 5058989435 |
NPI Number Detail
| NPI Number | 1588876932 |
|---|---|
| Provider Enumeration Date | 2007-05-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 8328 Calle Primera Nw |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871205386 |
| Phone Number | 5058989435 |
| Fax Number | 5058989052 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 68929072 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 68929072 | NM | PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Providence Support Services Inc. by the Centers for Medicare & Medicaid Services?
The Providence Support Services Inc. has been issued the NPI (National Provider Identifier) 1588876932 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Providence Support Services Inc. located?
The Providence Support Services Inc. is located at 8328 Calle Primera Nw, Albuquerque, NM 871205386.
What is Providence Support Services Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Providence Support Services Inc.'s specialized field of practice is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320900000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1588876932 to Providence Support Services Inc.?
The Providence Support Services Inc. received its 1588876932 assignment from the Centers for Medicare & Medicaid Services on 2007-05-05.
When was the information regarding Providence Support Services Inc. most recently updated?
The details pertaining to the Providence Support Services Inc., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL