OrganizationActive
Great Livin II LLC
NPI 1982372223 · Intellectual Disabilities Intermediate Care Facility · Albuquerque, NM
Provider details
- NPI number
- 1982372223
- 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
Practice location
617 Madeira Dr Ne
Albuquerque, NM 87108-1417
Phone: (505) 246-6971
Fax: (505) 247-2191
Approximate (ZIP-level) locationGet directions
Mailing address
2400 Monroe St Ne
Albuquerque, NM 87110-4063
Additional practice locations (2)
- 2400 Monroe St NeAlbuquerque, NM 87110-4063Phone: (505) 246-6971Fax: (505) 247-2191
- 4028 Mescalero Rd NeAlbuquerque, NM 87110-1754Phone: (505) 246-6971Fax: (505) 247-2191
Registry dates
- Enumerated
- 2021-09-01
- 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.