Organization · Type 2 NPI

Five Star Montebello LLC

Skilled Nursing Facility · Albuquerque, NM

NPI number 1649226028 Active

Practice location

10500 Academy Rd NE
Albuquerque, NM 87111-7306

Fax (505) 294-1808

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	2001 (NM)
Skilled Nursing Facility Primary	314000000X	1079

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

9 other providers at this address

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NPI record

NPI: 1649226028
Entity type: Organization (Type 2)
Issued: May 26, 2006
Last updated: Mar 28, 2019
Status: Active
Subpart: Yes of Five Star Montebello LLC

Other names

<unavail>
The Montebello On Academy · doing business as
The Montebello On Academy · doing business as

Authorized official

Katherine E Potter
President & Chief Executive Officer
(617) 796-8387

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1649226028

Five Star Montebello LLC's National Provider Identifier is 1649226028, issued on May 26, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Albuquerque, NM. The record was last updated on Mar 28, 2019.