Healthcare Provider Details

I. General information

NPI: 1932094265
Provider Name (Legal Business Name): A NEW DAY ASSISTED LIVING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11212 MIRAVISTA PL SE
ALBUQUERQUE NM
87123-5998
US

IV. Provider business mailing address

11212 MIRAVISTA PL SE
ALBUQUERQUE NM
87123-5998
US

V. Phone/Fax

Practice location:
  • Phone: 505-373-9285
  • Fax:
Mailing address:
  • Phone: 505-373-9285
  • Fax:

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: ATENOGENES VAZQUEZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 505-373-9285