PRINCETON PLACE
NPI 1124049044
Skilled Nursing Facility in Albuquerque, NM

Active since July 23, 2006CLIA 19D0672171 · Waiver
500 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87108(505) 255-1717(505) 255-5188 Get Directions Write a Review

NPPES record last updated: November 21, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Princeton Place NPPES

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

PRINCETON PLACE (NPI 1124049044) is a healthcare organization registered as a skilled nursing facility in Albuquerque, New Mexico and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Danny N Milam, General Partner, as its authorized official.

NPPES Registry Identity

NPI1124049044
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMANOR ESTATES INC
Location Address500 LOUISIANA BLVD NEAlbuquerque, NM 87108-2051
Mailing Address105 N Trenton StRuston, LA 71270-4321 · (318) 255-1514 · Fax (318) 255-1517
Fax(505) 255-5188
Organization SubpartNo
Authorized OfficialDanny N MilamGeneral Partner · (318) 255-1514
Enumeration DateJuly 23, 2006
Last NPPES UpdateNovember 21, 2007
NPI 1124049044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NM · 5019
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
500 LOUISIANA BLVD NE, Albuquerque, NM 87108

Other Names 1

Doing Business AsPrinceton Place

Other Identifiers 3

MedicaidI0001NM
Medicare NSC0457840001NM
Medicare ID-Type Unspecified325045NM · Federal Provider Number

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D0672171

Princeton Place Ruston · Ruston, LA
Active · expires Aug 31, 2026
CLIA Number19D0672171
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDenise B. Futch
Laboratory Phone(318) 255-4400
Laboratory LocationPrinceton Place Ruston1405 White Street, Ruston, LA 71270
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
500 LOUISIANA BLVD NE
ALBUQUERQUE, NM 87108
Skilled Nursing Facility
500 LOUISIANA BLVD NE
ALBUQUERQUE, NM 87108
Community/Behavioral Health
500 LOUISIANA BLVD NE
ALBUQUERQUE, NM 87108
Internal Medicine (Addiction Medicine)
500 LOUISIANA BLVD NE
ALBUQUERQUE, NM 87108
Nurse Practitioner (Adult Health)
500 LOUISIANA BLVD NE
ALBUQUERQUE, NM 87108
Pharmacy (Long Term Care Pharmacy)
500 LOUISIANA BLVD NE
ALBUQUERQUE, NM 87108

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 Manor Estates Inc's NPI number?

The NPI number for Manor Estates Inc is 1124049044. It was assigned to this organization in the NPPES registry on July 23, 2006. The provider is doing business as Princeton Place.

Where is Manor Estates Inc located?

Manor Estates Inc is located at 500 Louisiana Blvd NE, Albuquerque, NM 87108. The listed phone number is (505) 255-1717.

What is Manor Estates Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Manor Estates Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0672171) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Manor Estates Inc was last updated on November 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.