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STATE OF THE HEART RECOVERY
NPI 1700407277
Clinic/Center - Methadone in Albuquerque, NM

Active since May 06, 2020CLIA 32D2199718 · Waiver
203 CALIFORNIA ST NE, ALBUQUERQUE, NM 87108(505) 308-8296 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2021, May 6, 2020 (2 updates tracked since 2020).

About State Of The Heart Recovery NPPES

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

STATE OF THE HEART RECOVERY (NPI 1700407277) is a healthcare organization registered as a methadone in Albuquerque, New Mexico and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through November 9, 2026 and lists Paul Thomas Chavez, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1700407277
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameSTATE OF THE HEART RECOVERY
Location Address203 CALIFORNIA ST NEAlbuquerque, NM 87108-1802
Mailing Address203 California St NeAlbuquerque, NM 87108-1802 · (505) 308-8296
Phone(505) 308-8296
Organization SubpartNo
Authorized OfficialPaul Thomas ChavezExecutive Director · (505) 688-1228
Enumeration DateMay 6, 2020
Last NPPES UpdateMarch 26, 20212 updates tracked since enumeration
NPPES CertifiedMarch 26, 2021
✔ NPI 1700407277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
203 CALIFORNIA ST NE, Albuquerque, NM 87108
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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 32D2199718

State Of The Heart Recovery, Inc · Albuquerque, NM
Active · expires Nov 9, 2026
CLIA Number32D2199718
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateNovember 10, 2024
Certificate Expiration DateNovember 9, 2026
Laboratory DirectorChristina Juarez
Laboratory Phone(505) 688-1228
Laboratory LocationState Of The Heart Recovery, Inc203 California St NE, Albuquerque, NM 87108
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
521 services19 patients
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078
This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.
325 services18 patients

Other Providers at the Same Location NPPES 20

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

SPRING LEHERISSEY
Peer Specialist
203 CALIFORNIA ST NE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 308-8296
KAYLEEN MCKENZIE TATUM
Peer Specialist
203 CALIFORNIA ST NE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 308-8296
ERIC MONTOYA
Community Health Worker
203 CALIFORNIA ST NE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 206-0288
TANIA STANFORD
Community Health Worker
203 CALIFORNIA ST NE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 308-8296
ANTHONY D MARTIN
Counselor (Addiction (Substance Use Disorder))
203 CALIFORNIA ST NE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 206-0288
LAURA PARKISON
Peer Specialist
203 CALIFORNIA ST NE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 206-0288
MICHAEL TORRES
Case Manager/Care Coordinator
203 CALIFORNIA ST NE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 308-8296
KIMBERLY MOORE
Case Manager/Care Coordinator
203 CALIFORNIA ST NE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 308-8296

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 State Of The Heart Recovery's NPI number?

The NPI number for State Of The Heart Recovery is 1700407277. It was assigned to this organization in the NPPES registry on May 6, 2020.

Where is State Of The Heart Recovery located?

State Of The Heart Recovery is located at 203 California St NE, Albuquerque, NM 87108. The listed phone number is (505) 308-8296.

What is State Of The Heart Recovery's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does State Of The Heart Recovery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2199718) is associated with this NPI, valid through November 9, 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 State Of The Heart Recovery was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.