Providence Support Services Inc.
LBN: Providence Support Services Inc.
Providence Support Services Inc. is an health care organization with primary practice located at 8328 Calle Primera Nw , Albuquerque NM 87120-5386. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Providence Support Services Inc. can be contacted via phone (505) 898-9435, or through Rodden, Annette Marie via phone (505) 898-9435.
Contact Information
Primary practice address
8328 Calle Primera Nw
Albuquerque NM 87120-5386
Phone: (505) 898-9435
Fax: (505) 898-9052
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 68929072 | New Mexico |
Profile Details
| NPI number | 1588876932 |
|---|---|
| LBN Legal business name | Providence Support Services Inc. |
| DBA Doing business as | |
| Authorized official | Rodden, Annette Marie LMSW |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 5th, 2007 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588876932 | NPPES |
| New Mexico | Other | 68929072 | PROVIDER NUMBER |
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