1649296252 NPI number — EXPRESSIONS OF LIFE

Table of content: (NPI 1649296252)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649296252 NPI number — EXPRESSIONS OF LIFE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EXPRESSIONS OF LIFE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649296252
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3811 ATRISCO DR NW STE C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALBUQUERQUE
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
87120-4903
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
505-831-6250
Provider Business Mailing Address Fax Number:
505-831-6254

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3811 ATRISCO DR NW STE C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87120-4903
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-831-6250
Provider Business Practice Location Address Fax Number:
505-831-6254
Provider Enumeration Date:
07/15/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MONTOYA-HERRERA
Authorized Official First Name:
CAROL LYNN
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
505-831-6250

Provider Taxonomy Codes

  • Taxonomy code: 320600000X , with the licence number:  02-942112-00-8 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: A0413 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".