Provider Demographics
NPI:1073645602
Name:ALBUQUERQUE ASSISTED LIVING, LTD.
Entity Type:Organization
Organization Name:ALBUQUERQUE ASSISTED LIVING, LTD.
Other - Org Name:CARESTONE AT QUINTESSENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER AND PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:DASPIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-362-3521
Mailing Address - Street 1:7101 EUBANK BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87122-3385
Mailing Address - Country:US
Mailing Address - Phone:505-797-8600
Mailing Address - Fax:505-797-0689
Practice Address - Street 1:7101 EUBANK BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87122-3385
Practice Address - Country:US
Practice Address - Phone:505-797-8600
Practice Address - Fax:505-797-0689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM5791310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility