BROOKHAVEN NURSING HOME (NPI# 1043200454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043200454 |
| Entity Type | Organization |
| Organization Name | BROOKHAVEN NURSING HOME |
| Practice Address |
813 4th St Las Vegas NM 87701-4422 |
| Practice Telephone | 5054259304 |
| Practice Fax Number | 5054259305 |
| Mailing Telephone | 5054259304 |
| Mailing Fax Number | 5054259305 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. VICTORIA ARAGON (MANAGER OF OPERATIONS) |
| Authorized Official Telephone | 5054259304 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 1048 | NM | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 75509083 | 05 |
| Street Address |
813 4TH ST |
| City | LAS VEGAS |
| State | NM |
| Zip Code | 87701-4422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417917816 | Gilbert Christopher Aragon | Family Medicine | 813 4th St, Las Vegas, NM 87701-4422 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851884423 | Nueva Vida Counseling and Consulting Services LLC | Community/Behavioral Health | Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 | 2018-06-08 |
| 1316475403 | El Centro Family Health | Family Medicine | 475 Legion Dr., Las Vegas, NM 87701 | 2017-06-01 |
| 1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
| 1013369222 | Home Medical Equipment Specialists,llc | Durable Medical Equipment & Medical Supplies | 514 8th Street, Las Vegas, NM 87701 | 2016-07-12 |
| 1750730826 | John Michael Tourangeau | Social Worker | 1920 7th Street, Las Vegas, NM 87701 | 2016-06-08 |
| 1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
| 1023409521 | Ambercare Medical Supply | Durable Medical Equipment & Medical Supplies | 1747 N Grand Ave, Las Vegas, NM 87701 | 2015-02-05 |
| 1538561964 | El Centro Family Health | Clinic/Center | 947 Old National Road, Las Vegas, NM 87701 | 2014-09-17 |
| 1164832150 | Plaza Drugs | Pharmacist | 178 Bridge St, Las Vegas, NM 87701 | 2014-04-30 |
| 1043648165 | Open Doors Home Health Care | Home Health | 713 Railroad Ave., Las Vegas, NM 87701 | 2013-10-29 |
| Find all providers in zip 87701 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235520867 | Globalcat Health & Hit Consulting | Nursing Facility/Intermediate Care Facility | 9176 Umberland Ave, Las Vegas, NV 89149-3029 | 2015-02-18 |
| 1659545648 | Department of Veterans Affairs | Nursing Facility/Intermediate Care Facility | 5555 Baker Bowl Ct, Las Vegas, NV 89148-4630 | 2008-04-22 |
| 1558497784 | Gaye Haven Intermediate Care Fac | Nursing Facility/Intermediate Care Facility | 1813 Betty Lane, Las Vegas, NV 89156-6728 | 2007-02-23 |
| 1114916319 | New Mexico Behavioral Health Institute | Nursing Facility/Intermediate Care Facility | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2005-10-19 |
| 1992707806 | Eljen Medical Hospital | Nursing Facility/Intermediate Care Facility | 5538 Duncan Dr, Las Vegas, NV 89130-2812 | 2005-08-10 |
| 1497117832 | Candy Pemberton | Nursing Facility/Intermediate Care Facility | 6255 W Tropicana Ave, Apt 343, Las Vegas, NV 89103-4603 | 2016-03-24 |
| 1215364922 | Jewel Deguzman | Nursing Facility/Intermediate Care Facility | 2224 Canary Way, Las Vegas, NV 89106-1912 | 2013-09-27 |
| 1831494673 | Mojave Mental Health | Nursing Facility/Intermediate Care Facility | 4000 E Charleston Blvd, Ste 230, Las Vegas, NV 89104-6659 | 2011-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164639027 | El Castillo Retirement Residences | Nursing Facility/Intermediate Care Facility | 250 E Alameda St, Santa Fe, NM 87501-2186 | 2007-05-17 |
| 1457456576 | Zia Home Care | Nursing Facility/Intermediate Care Facility | 144 Scottsdale Dr, Clovis, NM 88101-2739 | 2006-09-13 |
| 1124059084 | South Valley Care Center, LLC | Nursing Facility/Intermediate Care Facility | 1629 Bowe Ln Sw, Albuquerque, NM 87105-3772 | 2006-07-06 |
| 1730117722 | Los Alamos Retirement Center, Inc. | Nursing Facility/Intermediate Care Facility | 1011 Sombrillo Ct, Los Alamos, NM 87544-3246 | 2006-06-29 |
| 1235132820 | Sierra Health Care Inc | Nursing Facility/Intermediate Care Facility | 1400 N Silver St, Truth Or Consequences, NM 87901-1957 | 2005-05-27 |
| 1356663298 | Mescalero Indian Hospital | Nursing Facility/Intermediate Care Facility | 318 Abalone Loop, Mescalero, NM 88340-0318 | 2010-02-19 |
| 1073749487 | South Central Colfax County Special Hospital District | Nursing Facility/Intermediate Care Facility | 615 Prospect Ave, Springer, NM 87747 | 2009-06-01 |
| 1871630665 | Miners Colfax Medical Center | Nursing Facility/Intermediate Care Facility | 900 S 6th St, Raton, NM 87740-4224 | 2007-01-31 |
Please comment or provide details below to improve the information on BROOKHAVEN NURSING HOME.
| 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.