PROSPERA HEALTHCARE NEW MEXICO LLC
NPI 1083363295
Community/Behavioral Health in Albuquerque, NM

Q: What is Prospera Healthcare New Mexico LLC's NPI number?

The NPI number for Prospera Healthcare New Mexico LLC is 1083363295. It was assigned to this organization in the NPPES registry on March 23, 2022.

Q: What is Prospera Healthcare New Mexico LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since March 23, 2022

9701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111(972) 900-2488 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Prospera Healthcare New Mexico Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROSPERA HEALTHCARE NEW MEXICO LLC (NPI 1083363295) is a healthcare organization registered as a community/behavioral health in Albuquerque, New Mexico and active in the NPI registry since March 2022. The organization lists Kyle Coddington, Founder, as its authorized official.

NPPES Registry Identity

NPI1083363295

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePROSPERA HEALTHCARE NEW MEXICO LLC

Location Address9701 MONTGOMERY BLVD NEAlbuquerque, NM 87111-3501

Mailing Address5200 Saddle DrFlower Mound, TX 75028-6011

Phone(972) 900-2488

Organization SubpartNo

Authorized OfficialKyle CoddingtonFounder · (972) 400-1983

Enumeration DateMarch 23, 2022

NPPES CertifiedMarch 9, 2022

✔ NPI 1083363295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

9701 MONTGOMERY BLVD NE, Albuquerque, NM 87111

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prospera Healthcare New Mexico LLC's NPI number?

The NPI number for Prospera Healthcare New Mexico LLC is 1083363295. It was assigned to this organization in the NPPES registry on March 23, 2022.

Where is Prospera Healthcare New Mexico LLC located?

Prospera Healthcare New Mexico LLC is located at 9701 Montgomery Blvd NE, Albuquerque, NM 87111. The listed phone number is (972) 900-2488.

What is Prospera Healthcare New Mexico LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Prospera Healthcare New Mexico LLC was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.