TAOS COUNTY ARC (NPI# 1376695387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376695387 |
| Entity Type | Organization |
| Organization Name | TAOS COUNTY ARC |
| Practice Address |
1030 Salazar Rd Taos NM 87571 |
| Practice Telephone | 5057584274 |
| Practice Fax Number | 5057581680 |
| Mailing Telephone | 5057584274 |
| Mailing Fax Number | 5057581680 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOSE R RODRIGUEZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5057584274 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | MEDICAID & WAIVER | D1065 | 01 |
| NM | MEDICAID EPSDT | E7255 | 01 |
| Street Address |
1030 SALAZAR RD |
| City | TAOS |
| State | NM |
| Zip Code | 87571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080923 | Veronika Anne Peacetree | Counselor | Vds-taos, 314 Don Fernando Street, Taos, NM 87571 | 2019-02-28 |
| 1043785603 | Lindsey M Schreiber | Counselor | 412 Sipapu Street, Taos, NM 87571 | 2018-10-10 |
| 1881173698 | Mia M Mcmullen | Specialist/Technologist | Enos Garcia Elementary School, 305 Don Fernando St, Taos, NM 87571 | 2018-08-13 |
| 1992225403 | Ted Dimond | Counselor | 525 Salazar Rd, Suite A, Taos, NM 87571 | 2017-06-26 |
| 1467908103 | Jacqueline Danielle Arcand | Social Worker | 250 Shadow Mountain Rd, Taos, NM 87571 | 2016-09-01 |
| 1225487812 | James Lucero | Social Worker | 905 Witt Rd., Taos, NM 87571 | 2016-06-06 |
| 1083098370 | Ellen Durant | Marriage & Family Therapist | 1135 Butterfly Rd, Taos, NM 87571 | 2015-07-16 |
| 1831584192 | Eight Northern Indian Pueblos Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1130 Butterfly Rd., Taos, NM 87571 | 2015-04-03 |
| 1790179844 | Eight Northern Indian Pueblos | Substance Abuse Rehabilitation Facility | 1130 Butterfly Road, Taos, NM 87571 | 2015-03-26 |
| 1992106041 | Debbie I Salazar, Lisw Ltd Co | Community/Behavioral Health | 208 Ranchitos Road Unit B, Taos, NM 87571 | 2014-09-09 |
| Find all providers in zip 87571 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639496631 | 3h Integrated, LLC | Clinic/Center | 8320 2nd St Nw, Albuquerque, NM 87114-1037 | 2010-04-29 |
| 1790818714 | Ramah Navajo School Board, Inc. | Clinic/Center | Bia Rt. 125, Pine Hill School Campus, Pinehill, NM 87357-0010 | 2007-03-13 |
| 1134260904 | Unm Developmental Care Program | Clinic/Center | Msc10 5590, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2007-02-12 |
| 1124101365 | Enmrsh, Inc. | Clinic/Center | 2700 E 7th St, Clovis, NM 88101-1708 | 2006-10-23 |
| 1851614432 | Unm Medical Group Inc | Clinic/Center | 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 | 2010-03-10 |
| 1689703191 | Liferoots, Inc | Clinic/Center | 1111 Menaul Blvd Ne, Albuquerque, NM 87107-1614 | 2007-03-02 |
| 1326195769 | Pms Dba Roundtree Childrens' Development Services | Clinic/Center | 608 Reilly Ave, Farmington, NM 87499 | 2007-01-05 |
Please comment or provide details below to improve the information on TAOS COUNTY ARC.
| 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.