OrganizationActive
Great Livin II LLC
NPI 1750947420 · Intellectual Disabilities Intermediate Care Facility · Albuquerque, NM
Provider details
- NPI number
- 1750947420
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Great Livin II LLC
- Organization subpart
- Yes
- Authorized official
- Matt Poel, Owner(505) 246-6971
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
4028 Mescalero Rd Ne
Albuquerque, NM 87110-1754
Phone: (505) 246-6971
Fax: (505) 247-2191
Street-level locationGet directions
Mailing address
2400 Monroe St Ne
Albuquerque, NM 87110-4063
Other names (DBA / former)
- Former legal business name
- Great Livin II
- Former legal business name
- Great Livin II
Additional practice locations (2)
- 2400 Monroe St NeAlbuquerque, NM 87110-4063Phone: (505) 246-6971Fax: (505) 247-2191
- 2901 Juan Tabo Blvd Ne Ste 208Albuquerque, NM 87112-1885Phone: (505) 246-6971
Registry dates
- Enumerated
- 2019-05-17
- Last updated
- 2024-05-13
- Certified
- 2024-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.