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Beverely Place LLC — NPI 1811712987, Rio Rancho, NM | NPI Central

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NPI 1811712987

OrganizationActive

Beverely Place LLC

NPI 1811712987 · Intellectual Disabilities Intermediate Care Facility · Rio Rancho, NM

Provider details

NPI number: 1811712987
Entity type: Organization
Primary specialty: Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Baze Brownell, Ceo(877) 963-2123

Specialties & taxonomies

Intellectual Disabilities Intermediate Care FacilityPrimary315P00000X
Nursing & Custodial Care Facilities

Practice location

5763 De Baca Ct Ne

Rio Rancho, NM 87144-5213

Phone: (609) 457-4506

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

5763 De Baca Ct Ne

Rio Rancho, NM 87144-5213

Other names (DBA / former)

Doing business as: Beverely Place
Former legal business name: Beverely Place LLC

Registry dates

Enumerated: 2024-11-22
Last updated: 2025-12-23
Certified: 2025-12-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.