Su Vida Services, Inc.
LBN: Su Vida Services, Inc.
Su Vida Services, Inc. is an health care organization with primary practice located at 3150 Carlisle Blvd Ne Suite #206, Albuquerque NM 87110-1678. 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.
Su Vida Services, Inc. can be contacted via phone (505) 830-6045, or through Miracle, Vicki A. via phone (505) 830-6045.
Contact Information
Primary practice address
3150 Carlisle Blvd Ne Suite #206
Albuquerque NM 87110-1678
Phone: (505) 830-6045
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X |
Profile Details
| NPI number | 1174740856 |
|---|---|
| LBN Legal business name | Su Vida Services, Inc. |
| DBA Doing business as | |
| Authorized official | Miracle, Vicki A. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 20th, 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 | 1174740856 | NPPES |
| New Mexico | MEDICAID | 000D2601 |
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