Healthcare Provider Details

I. General information

NPI: 1043142219
Provider Name (Legal Business Name): LOVING HOMES ALF LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 GARDEN PARK CIR NW
ALBUQUERQUE NM
87107-2655
US

IV. Provider business mailing address

19 GARDEN PARK CIR NW
ALBUQUERQUE NM
87107-2655
US

V. Phone/Fax

Practice location:
  • Phone: 505-255-3487
  • Fax: 218-757-2594
Mailing address:
  • Phone: 505-225-3487
  • Fax: 218-757-2594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: THERESA FLEETS
Title or Position: ADMINISTRATOR
Credential:
Phone: 505-225-3487