Healthcare Provider Details

I. General information

NPI: 1285548461
Provider Name (Legal Business Name): VALENCIA ASSISTED LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 VALENCIA DR SE
ALBUQUERQUE NM
87108-3058
US

IV. Provider business mailing address

300 VALENCIA DR SE
ALBUQUERQUE NM
87108-3058
US

V. Phone/Fax

Practice location:
  • Phone: 505-260-8100
  • Fax:
Mailing address:
  • Phone: 505-260-8100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DAVID GARETZ
Title or Position: CFO
Credential:
Phone: 323-987-5954