THI OF NEW MEXICO AT SUNSET VILLA, LLC (NPI# 1013004209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013004209 |
Entity Type | Organization |
Organization Name | THI OF NEW MEXICO AT SUNSET VILLA, LLC |
Other Organization Name | SUNSET VILLA CARE CENTER |
Practice Address |
1515 S Sunset Ave Roswell NM 88203-2628 |
Mailing Address |
930 Ridgebrook Rd Sparks MD 21152-9390 |
Practice Telephone | 5056237097 |
Practice Fax Number | 5056241307 |
Mailing Telephone | 4107731000 |
Enumeration Date | 2006-10-07 |
Last Update Date | 2008-04-08 |
Authorized Official Name | BUFFY ITOMITSU (PRESIDENT) |
Authorized Official Telephone | 5056237097 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 87001055 | 05 |
Other Name | Type Code |
---|---|
Sunset Villa Care Center | Doing Business As Name - Organization |
Street Address |
1515 S SUNSET AVE |
City | ROSWELL |
State | NM |
Zip Code | 88203-2628 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770115586 | Katherine Bolin | Behavior Technician | 333 West Brasher Rd. #200, Roswell, NM 88203 | 2020-02-10 |
1437660040 | Pecos Valley Eye Surgery Center, LLC | Clinic/Center | 1610 Se Main Street, Roswell, NM 88203 | 2017-10-23 |
1285031286 | Wheelchair and Walker Rentals, Inc. | Durable Medical Equipment & Medical Supplies | 305 W Mcgaffey St, Roswell, NM 88203 | 2014-11-20 |
1447585914 | Whole World Health Care, PC | Pediatrics | 109 W. Bland, Roswell, NM 88203 | 2009-10-16 |
1780825372 | Complete Rehab Adult Services | Clinic/Center | 109 W Bland, Roswell, NM 88203 | 2009-03-12 |
1710127220 | Roswell Medical Care | Health Maintenance Organization | 111 W Hobbs, Roswell, NM 88203 | 2009-02-23 |
1336330513 | Savitri Aguiar | Internal Medicine | 1511 South Grand, Roswell, NM 88203 | 2007-08-05 |
1750455523 | Francisco Casio Bicol Jr. | Occupational Therapist | 200 W 1st St Ste 527, Roswell, NM 88203 | 2006-11-20 |
1699861542 | Susan Lee Voigt | Counselor | 200 W 1st, Ste 532, Roswell, NM 88203 | 2006-10-05 |
1245336940 | Founders Healthcare LLC | Durable Medical Equipment & Medical Supplies | 104 N Missouri Ave, Roswell, NM 88203 | 2006-09-16 |
Find all providers in zip 88203 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477648442 | Scg Durant Four Seasons, LLC | Skilled Nursing Facility | 16 Norcross St, Suite 100, Roswell, GA 30075-3810 | 2006-10-04 |
1336145424 | Chc - Roswell Nursing & Rehab Ctr, LLC | Skilled Nursing Facility | 1109 Green St, Roswell, GA 30075-3609 | 2005-06-23 |
1609297670 | Roswell Cypress LLC | Skilled Nursing Facility | 1109 Green St, Roswell, GA 30075 | 2013-12-18 |
1881781060 | Casa Maria of New Mexico LLC | Skilled Nursing Facility | 1601 S Main St, Roswell, NM 88203-5436 | 2006-10-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487290623 | Michael P. Clements Md | Skilled Nursing Facility | 1096 Mechem Dr Ste G05, Ruidoso, NM 88345-7057 | 2019-11-22 |
1619447554 | Albuquerque Operations LLC | Skilled Nursing Facility | 8820 Horizon Blvd Ne # Na, Albuquerque, NM 87113-1689 | 2018-12-04 |
1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
1164917712 | Welbrook Senior Living Farmington LLC | Skilled Nursing Facility | 201 Nelson Ave, Farmington, NM 87401-3375 | 2018-06-26 |
1821536087 | Renaissance Health Care LLC | Skilled Nursing Facility | 1610 N Renaissance Blvd Ne, Albuquerque, NM 87107-7047 | 2017-02-08 |
1609231448 | The Neighborhood In Rio Rancho | Skilled Nursing Facility | 900 Loma Colorado Blvd Ne, Rio Rancho, NM 87124-6511 | 2015-12-21 |
1720477847 | Julie Salcido | Skilled Nursing Facility | 9126 Seaside Rd Nw, Albuquerque, NM 87121-1939 | 2015-01-13 |
1003205188 | Brian Walker | Skilled Nursing Facility | 10101 Lgrma Oro Rd Ne, Albuquerque, NM 87111-6022 | 2015-01-13 |
1043615925 | Shiloh Home Health Inc | Skilled Nursing Facility | 4301 Largo St Ste A, Farmington, NM 87402-8629 | 2014-11-04 |
1619390333 | Rehab Suites At Las Estancias LLC | Skilled Nursing Facility | 3620 Las Estancias Drive Sw, Albuquerque, NM 87105 | 2014-01-31 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.