CHILDHAVEN, INC (NPI# 1144303074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144303074 |
| Entity Type | Organization |
| Organization Name | CHILDHAVEN, INC |
| Practice Address |
807 W. Apache St. Farmington NM 87401 |
| Practice Telephone | 5053255358 |
| Practice Fax Number | 5053271482 |
| Mailing Telephone | 5053255358 |
| Mailing Fax Number | 5053271482 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2014-07-10 |
| Authorized Official Name | DIANE DEAN (CFO) |
| Authorized Official Telephone | 5053255358 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | CASE MANAGEMENT | NM | Agencies |
| N | 251S00000X | Community/Behavioral Health | 4151 | NM | Agencies |
| N | 251S00000X | Community/Behavioral Health | TREATMENT FOSTER | NM | Agencies |
| N | 253J00000X | Foster Care Agency | TREATMENTFOSTER | NM | Agencies |
| Y | 253J00000X | Foster Care Agency | 4151 | NM | Agencies |
| N | 251S00000X | Community/Behavioral Health | NM | Agencies | |
| N | 251B00000X | Case Management | NM | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | MEDICAID | 21138761 | 01 |
| NM | K3385 | 05 |
| Street Address |
807 W. APACHE ST. |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851434138 | High Desert Family Services, Inc. | Foster Care Agency | 7001 Prospect Pl Ne, Albuquerque, NM 87110-4311 | 2007-02-15 |
| 1295392231 | Stepping Stone | Foster Care Agency | 3320 Coors Blvd Nw, Albuquerque, NM 87120-1717 | 2019-05-24 |
| 1679137178 | Arca | Foster Care Agency | 1503 4th St Nw, Albuquerque, NM 87102-1420 | 2019-04-30 |
| 1932569514 | Behavioral Healthcare Services, Inc. | Foster Care Agency | 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102-2367 | 2016-02-25 |
| 1255711255 | La Clinica De Familia, Incorporated | Foster Care Agency | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2015-06-04 |
| 1891955100 | Hogares Inc | Foster Care Agency | 1218 Griegos Rd Nw, Albuquerque, NM 87107-3752 | 2008-06-10 |
| City | FARMINGTON |
| Zip Code | 87401 |
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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.