ANGEL WINGS
NPI 1093268104
Assisted Living Facility in Albuquerque, NM

Active since July 26, 2016
19 GARDEN PARK CIR NW, ALBUQUERQUE, NM 87107(505) 312-8674 Get Directions Write a Review

NPPES record last updated: July 26, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About ANGEL WINGS

This page provides the complete NPI Profile along with additional information for Angel Wings, a provider established in Albuquerque, New Mexico operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1093268104 assigned on July 2016. The practitioner's primary taxonomy code is 310400000X with license number 2256 (NM). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Karolayn Keller (Owner)

NPI
1093268104 Verify this NPI
Provider Name
ANGEL WINGS
Entity Type
Organization
Location Address
19 GARDEN PARK CIR NW ALBUQUERQUE, NM 87107
Location Phone
(505) 312-8674
Mailing Address
19 GARDEN PARK CIR NW ALBUQUERQUE, NM 87107
Mailing Phone
(505) 312-8674
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-26-2016
Last Update Date
07-26-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
2256
License State
NM
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KAROLAYN KELLER

Authorized Official Title
OWNER
Authorized Official Phone
(505) 312-8674

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nursing Home Administrator
19 GARDEN PARK CIR NW
ALBUQUERQUE, NM 87107
Assisted Living Facility
19 GARDEN PARK CIR NW
ALBUQUERQUE, NM 87107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093268104, enumerated as an "organization" on July 26, 2016.

The provider is located at 19 GARDEN PARK CIR NW ALBUQUERQUE, NM 87107 and the phone number is (505) 312-8674.

Assisted Living Facility with taxonomy code 310400000X.