EL ROCKY MOUNTAIN MANAGEMENT & SERVICES, LLC (NPI# 1326136532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326136532 |
| Entity Type | Organization |
| Organization Name | EL ROCKY MOUNTAIN MANAGEMENT & SERVICES, LLC |
| Other Organization Name | PATHWAY HOUSE RTC & IOP |
| Practice Address |
712 Rencher St 316 West 7th Street Clovis NM 88101-6560 |
| Mailing Address |
Po Box 582 712 Rencher Clovis NM 88102-0582 |
| Practice Telephone | 5057635003 |
| Practice Fax Number | 5057622815 |
| Mailing Telephone | 5057626091 |
| Mailing Fax Number | 5057622815 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. EUGENE D LOVATO (CEO/OWNER) |
| Authorized Official Telephone | 5057626091 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| X | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| X | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | M1703 | 05 | |
| NM | VALUE OPTION ID # | NM600401 | 01 |
| Other Name | Type Code |
|---|---|
| Pathway House RTC & IOP | Doing Business As Name - Organization |
| Street Address |
712 RENCHER ST 316 WEST 7TH STREET |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-6560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730716952 | 2nd Home Incorporated | Community Based Residential Treatment Facility, Mental Illness | 1797 San Jose Ave, Clovis, CA 93611-3078 | 2020-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912448499 | Jennifer Harrison-sanchez | Community Based Residential Treatment Facility, Mental Illness | 9961 Academy Rd Nw, Albuquerque, NM 87114-4245 | 2017-03-16 |
| 1205219771 | Dismas House | Community Based Residential Treatment Facility, Mental Illness | 701 Candelaria, Albuquerque, NM 87108 | 2015-07-02 |
| 1831584192 | Eight Northern Indian Pueblos Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1130 Butterfly Rd., Taos, NM 87571 | 2015-04-03 |
| 1366712283 | Native American Behavioral Health Services P.C. | Community Based Residential Treatment Facility, Mental Illness | 3300 Box Canyon Ave, Suite A, Gallup, NM 87301-6940 | 2012-01-10 |
| 1508143652 | Pasos Adelante Behavioral Health Services | Community Based Residential Treatment Facility, Mental Illness | 101 Maguey Ct Ste 1, Sunland Park, NM 88063-9513 | 2011-11-03 |
| 1255621058 | Hobbs Recovery House | Community Based Residential Treatment Facility, Mental Illness | 218 W Lea St, Hobbs, NM 88240-5110 | 2011-04-13 |
| 1962720771 | The Willow Foundation | Community Based Residential Treatment Facility, Mental Illness | 1405 Madison Ave, Roswell, NM 88203-5535 | 2010-05-04 |
| 1720246051 | International Word of Faith Ministry | Community Based Residential Treatment Facility, Mental Illness | 1605 E Dunn St, Hobbs, NM 88240-6704 | 2008-05-22 |
| 1063563385 | Life Healing Center of Santa Fe | Community Based Residential Treatment Facility, Mental Illness | 25 Vista Point Rd, Santa Fe, NM 87508-7800 | 2007-01-15 |
| 1760026942 | Youth Health Associates, Inc. | Community Based Residential Treatment Facility, Mental Illness | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2019-10-31 |
| Find all providers with the same taxonomy | ||||
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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.