Healthcare Provider Details

I. General information

NPI: 1003022161
Provider Name (Legal Business Name): ROSEMONT ASSISTED LIVING & ALZHEIMERS COMMUNITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2961 GALISTED RD
SANTA FE NM
87505
US

IV. Provider business mailing address

2961 GALISTED RD
SANTA FE NM
87505
US

V. Phone/Fax

Practice location:
  • Phone: 505-438-8464
  • Fax: 505-438-2442
Mailing address:
  • Phone: 505-438-8464
  • Fax: 505-438-2442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number5820
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number5820
License Number StateNM

VIII. Authorized Official

Name: MR. CHARLES E MASSEY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 505-438-8464