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ONYX SUPPORTIVE LIVING LLC
NPI 1255636221
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Albuquerque, NM

Active since January 21, 2011
5301 CROOKED CREEK AVE NW, ALBUQUERQUE, NM 87114(505) 792-1996(505) 899-8251 Get Directions Write a Review

NPPES record last updated: January 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Onyx Supportive Living Llc NPPES

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

ONYX SUPPORTIVE LIVING LLC (NPI 1255636221) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Albuquerque, New Mexico and active in the NPI registry since January 2011. The organization lists Melvin D Parker, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1255636221
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameONYX SUPPORTIVE LIVING LLC
Location Address5301 CROOKED CREEK AVE NWAlbuquerque, NM 87114-4193
Mailing Address708 Sandy Dr NwAlbuquerque, NM 87120-3211 · (505) 720-2273 · Fax (505) 831-8090
Phone(505) 792-1996
Fax(505) 899-8251
Organization SubpartNo
Authorized OfficialMelvin D ParkerCo-owner · (505) 720-2273
Enumeration DateJanuary 21, 2011
✔ NPI 1255636221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in NM · 03159603007
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
5301 CROOKED CREEK AVE NW, Albuquerque, NM 87114
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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 Onyx Supportive Living LLC's NPI number?

The NPI number for Onyx Supportive Living LLC is 1255636221. It was assigned to this organization in the NPPES registry on January 21, 2011.

Where is Onyx Supportive Living LLC located?

Onyx Supportive Living LLC is located at 5301 Crooked Creek Ave NW, Albuquerque, NM 87114. The listed phone number is (505) 792-1996.

What is Onyx Supportive Living LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Onyx Supportive Living LLC was last updated on January 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.