OrganizationActive
Community Source
NPI 1629876297 · Case Management Agency · Albuquerque, NM
Provider details
- NPI number
- 1629876297
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Annaliza Gourneau, Executive Director(575) 650-0132
Specialties & taxonomies
Agencies
- Public Health or Welfare Agency251K00000X
Agencies
- Early Intervention Provider Agency252Y00000X
Agencies
- Private Vehicle347C00000X
Transportation Services
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12021 Skyline Rd Ne Apt 2723
Albuquerque, NM 87123-3087
Phone: (575) 650-0132
Street-level locationGet directions
Mailing address
12021 Skyline Rd Ne Apt 2723
Albuquerque, NM 87123-3087
Registry dates
- Enumerated
- 2025-03-07
- Last updated
- 2025-03-07
- Certified
- 2025-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.