NPI Portal NPI Lookup & Verification

Su Vida Services, Inc.

Su Vida Services, Inc. is a healthcare organization registered as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Albuquerque, NM, holding Type 2 (organization) NPI 1174740856 since 2007. The authorized official on file is Vicki Miracle, Treasure.

✓ Active NPI ✓ Valid NPI checksum

NPI 1174740856
Entity type Organization (Type 2)
Legal business name Su Vida Services, Inc.
Practice address 3150 CARLISLE BLVD NE, SUITE #206, Albuquerque, NM, 87110
Phone 5058306045
Enumeration date 2007-04-20
Last updated in NPPES 2020-08-22

Authorized official

Name Vicki Miracle
Title Treasure
Phone 5058306045

Taxonomy & classification

Taxonomy code Specialty Primary License State
320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Other identifiers

Identifier Type State Issuer
000D2601 Medicaid NM
Copy-ready billing details
Provider: Su Vida Services, Inc.
NPI: 1174740856
Taxonomy: 320900000X (Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility)
Address: 3150 CARLISLE BLVD NE, SUITE #206, Albuquerque, NM, 87110

Providers at this address

NPI Name Type Specialty Location
1578694642 Dawn Saunders Individual Specialist Albuquerque, NM
1477881530 Amanda Rouse Individual Reflexologist Albuquerque, NM
1497000954 Ravensnow L.L.C. Organization Community/Behavioral Health Agency Albuquerque, NM
1952659658 Corky St. James Individual Addiction (Substance Use Disorder) Counselor Albuquerque, NM
1104284629 H and W Associates, LLC Organization Case Management Agency Albuquerque, NM
1114385952 Sage Bear Counseling, LLC Organization Clinical Social Worker Albuquerque, NM
1629662747 Kirstina Ward Individual Student in an Organized Health Care Education/Training Program Albuquerque, NM
1083384028 Adrianna Flores Individual Social Worker Albuquerque, NM

Verify this record

Cross-check NPI 1174740856 against the authoritative CMS record: view Su Vida Services, Inc. on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Su Vida Services, Inc.?
Su Vida Services, Inc. is registered in NPPES as a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.