GREAT LIVIN', LLC
NPI 1902072697
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Albuquerque, NM

Q: What is Great Livin', LLC's NPI number?

The NPI number for Great Livin', LLC is 1902072697. It was assigned to this organization in the NPPES registry on May 2, 2008.

Q: What is Great Livin', 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.

Q: When was this NPI record last updated?

The NPPES record for Great Livin', LLC was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since May 02, 2008

4213 PONDEROSA AVE NE, ALBUQUERQUE, NM 87110(505) 620-3849 Get Directions Write a Review

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Great Livin', Llc NPPES

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

GREAT LIVIN', LLC (NPI 1902072697) 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 May 2008. The organization lists Matt Poel, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1902072697

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameGREAT LIVIN', LLC

Location Address4213 PONDEROSA AVE NEAlbuquerque, NM 87110-1031

Mailing Address4213 Ponderosa Ave NeAlbuquerque, NM 87110-1031

Phone(505) 620-3849

Organization SubpartNo

Authorized OfficialMatt PoelExecutive Director · (505) 620-3849

Enumeration DateMay 2, 2008

✔ NPI 1902072697 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 · 86879375

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

4213 PONDEROSA AVE NE, Albuquerque, NM 87110

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Other Identifiers 1

Medicaid86879375NM

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 Great Livin', LLC's NPI number?

The NPI number for Great Livin', LLC is 1902072697. It was assigned to this organization in the NPPES registry on May 2, 2008.

Where is Great Livin', LLC located?

Great Livin', LLC is located at 4213 Ponderosa Ave NE, Albuquerque, NM 87110. The listed phone number is (505) 620-3849.

What is Great Livin', 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 Great Livin', LLC was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.