Provider Demographics
NPI:1841830981
Name:BLUE HORIZON PROPERTIES, LLC
Entity type:Organization
Organization Name:BLUE HORIZON PROPERTIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:AYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-269-4556
Mailing Address - Street 1:PO BOX 14297
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87191-4297
Mailing Address - Country:US
Mailing Address - Phone:505-269-4556
Mailing Address - Fax:800-557-3574
Practice Address - Street 1:2707 SPITZ ST
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-1338
Practice Address - Country:US
Practice Address - Phone:505-269-4556
Practice Address - Fax:800-557-3574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-07
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility