SOUTH VALLEY CARE CENTER, LLC
NPI 1124059084
Nursing Facility/Intermediate Care Facility in Albuquerque, NM

Q: What is South Valley Care Center, LLC's NPI number?

The NPI number for South Valley Care Center, LLC is 1124059084. It was assigned to this organization in the NPPES registry on July 6, 2006.

Q: What is South Valley Care Center, LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Active since July 06, 2006CLIA 32D0662614 · Waiver

1629 BOWE LN SW, ALBUQUERQUE, NM 87105(505) 877-2200(505) 877-4654 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

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About South Valley Care Center, Llc NPPES

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

SOUTH VALLEY CARE CENTER, LLC (NPI 1124059084) is a healthcare organization registered as a nursing facility/intermediate care 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 Hunter Greene, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1124059084

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameSOUTH VALLEY CARE CENTER, LLC

Location Address1629 BOWE LN SWAlbuquerque, NM 87105-3772

Mailing Address2155 Louisiana Blvd Ne, Suite 10200Albuquerque, NM 87110-5409 · (505) 881-0979 · Fax (505) 881-1189

Phone(505) 877-2200

Fax(505) 877-4654

Organization SubpartNo

Authorized OfficialHunter GreeneManaging Member · (505) 450-5612

Enumeration DateJuly 6, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1124059084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in NM · APPLIED FOR

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

1629 BOWE LN SW, Albuquerque, NM 87105

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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 32D0662614

South Valley Care Center · Albuquerque, NM

Active · expires Aug 31, 2026

CLIA Number32D0662614

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorSusan Bencal

Laboratory Phone(505) 877-2200

Laboratory LocationSouth Valley Care Center1629 Bowe Lane SW, Albuquerque, NM 87105

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

LOVATO AND ASSOCIATES INC.

Family Medicine (Adult Medicine)

1629 BOWE LN SW
ALBUQUERQUE, NM 87105

Bernalillo County (505) 280-7370

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 South Valley Care Center, LLC's NPI number?

The NPI number for South Valley Care Center, LLC is 1124059084. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is South Valley Care Center, LLC located?

South Valley Care Center, LLC is located at 1629 Bowe Ln SW, Albuquerque, NM 87105. The listed phone number is (505) 877-2200.

What is South Valley Care Center, LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does South Valley Care Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D0662614) 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 South Valley Care Center, LLC was last updated on July 21, 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.