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

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: July 19, 2026.

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
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

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

Other Identifiers 1

Medicaid86879375NM

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902072697, enumerated as an "organization" on May 02, 2008.

The provider is located at 4213 PONDEROSA AVE NE ALBUQUERQUE, NM 87110 and the phone number is (505) 620-3849.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.