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COPPERTOP SERVICES, LLC
NPI 1265290480
Clinic/Center - Developmental Disabilities in Albuquerque, NM

Active since March 12, 2024
119 INDUSTRIAL AVE NE, ALBUQUERQUE, NM 87107(505) 721-9703 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coppertop Services, Llc NPPES

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

COPPERTOP SERVICES, LLC (NPI 1265290480), doing business as Telos Community Inclusion, Llc., is a healthcare organization registered as a developmental disabilities in Albuquerque, New Mexico and active in the NPI registry since March 2024. The organization lists Ian Collyer, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1265290480
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameCOPPERTOP SERVICES, LLC
Location Address119 INDUSTRIAL AVE NEAlbuquerque, NM 87107-2283
Mailing Address13644 N Rim Rd NeAlbuquerque, NM 87112-6399
Phone(505) 721-9703
Organization SubpartNo
Authorized OfficialIan CollyerExecutive Director · (505) 900-1933
Enumeration DateMarch 12, 2024
Last NPPES UpdateJuly 1, 2024
NPPES CertifiedJuly 1, 2024
✔ NPI 1265290480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
119 INDUSTRIAL AVE NE, Albuquerque, NM 87107
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Other Names 1

Doing Business AsTelos Community Inclusion, Llc.

Other Providers at the Same Location NPPES 5

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

MICHELE L WILLIAMS
Peer Specialist
119 INDUSTRIAL AVE NE
ALBUQUERQUE, NM 87107
Bernalillo County (505) 315-7397
DANIELLE SANCHEZ MSW
Counselor (Mental Health)
119 INDUSTRIAL AVE NE
ALBUQUERQUE, NM 87107
Bernalillo County (505) 315-7397
ARTHUR DAHL
Counselor (Mental Health)
119 INDUSTRIAL AVE NE
ALBUQUERQUE, NM 87107
Bernalillo County (505) 315-7397
COPPERTOP SERVICES LLC
Clinic/Center (Adult Day Care)
119 INDUSTRIAL AVE NE
ALBUQUERQUE, NM 87107
Bernalillo County (505) 721-9703
KALI SUZANNE NAN PETTIES T-CTL0220451
Case Manager/Care Coordinator
119 INDUSTRIAL AVE NE
ALBUQUERQUE, NM 87107
Bernalillo County (505) 345-2127

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 Coppertop Services, LLC's NPI number?

The NPI number for Coppertop Services, LLC is 1265290480. It was assigned to this organization in the NPPES registry on March 12, 2024. The provider is doing business as Telos Community Inclusion, LLC..

Where is Coppertop Services, LLC located?

Coppertop Services, LLC is located at 119 Industrial Ave NE, Albuquerque, NM 87107. The listed phone number is (505) 721-9703.

What is Coppertop Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Coppertop Services, LLC was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.