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CASA DEL VALLE 1
NPI 1295124022
Assisted Living Facility in Albuquerque, NM

Active since January 16, 2015
2111 RAVEN LN SW, ALBUQUERQUE, NM 87105(505) 877-0275(505) 877-1249 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2024, Aug 21, 2023 (2 updates tracked since 2023).

About Casa Del Valle 1 NPPES

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

CASA DEL VALLE 1 (NPI 1295124022) is a healthcare organization registered as an assisted living facility in Albuquerque, New Mexico and active in the NPI registry since January 2015. The organization lists Gary Lee Sandoval, Administrator, as its authorized official.

NPPES Registry Identity

NPI1295124022
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCASA DEL VALLE 1
Location Address2111 RAVEN LN SWAlbuquerque, NM 87105-4530
Mailing Address2111 Raven Ln SwAlbuquerque, NM 87105-4530 · (505) 877-0275 · Fax (505) 877-1249
Phone(505) 877-0275
Fax(505) 877-1249
Organization SubpartNo
Authorized OfficialGary Lee SandovalAdministrator · (505) 877-0275
Enumeration DateJanuary 16, 2015
Last NPPES UpdateMay 13, 20242 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1295124022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NM · 5280
Definition
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.
2111 RAVEN LN SW, Albuquerque, NM 87105
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Other Providers at the Same Location NPPES

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

GARY LEE SANDOVAL
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
2111 RAVEN LN SW
ALBUQUERQUE, NM 87105
Bernalillo County (505) 573-2721

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 Casa Del Valle 1's NPI number?

The NPI number for Casa Del Valle 1 is 1295124022. It was assigned to this organization in the NPPES registry on January 16, 2015.

Where is Casa Del Valle 1 located?

Casa Del Valle 1 is located at 2111 Raven Ln SW, Albuquerque, NM 87105. The listed phone number is (505) 877-0275.

What is Casa Del Valle 1's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Casa Del Valle 1 was last updated on May 13, 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.