DESERT HAVEN (NPI# 1396214086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396214086 |
| Entity Type | Organization |
| Organization Name | DESERT HAVEN |
| Practice Address |
225 E Idaho Ave Ste 25 Las Cruces NM 88005-3242 |
| Mailing Address |
Po Box 1676 Fairacres NM 88033-1676 |
| Practice Telephone | 5755711016 |
| Mailing Telephone | 5755711016 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-28 |
| Authorized Official Name | CHARLES GATES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5755711016 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251X00000X | Supports Brokerage | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DESERT HAVEN | 2250 W 15th St, Odessa, TX 79763-3376 |
| Colorado Business Entities | Desert Haven Homeowners Association, Inc. | 726 Serenity Ct, Mack, CO 81525 |
| Colorado Business Entities | Desert Haven Properties LLC | 19055 Pinon Drive, Cedaredge, CO 81413 |
| Washington State Corporations | DESERT HAVEN PROPERTIES, LLC | 610 Follow Through Dr, Yakima, WA 98901 |
| System for Award Management (SAM) Entities | DESERT HAVEN TRAILER COMPANY | 3800 Shell St, El Paso, TX 79925-1358 |
| Colorado Business Entities | DESERT HAVEN, LLC | 1694 Arroyo Ct, Mack, CO 81525 |
| Street Address |
225 E IDAHO AVE STE 25 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88005-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558850834 | Connections Therapy, Inc. | Counselor | 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 | 2018-05-02 |
| 1518452945 | Connections Therapy Group | Clinic/Center | 225 E Idaho Ave Ste 25, Las Cruces, NM 88005-3242 | 2018-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158345 | Raymond Pope Stewart Jr. | Community Health Worker | 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 | 2019-05-09 |
| 1538638481 | Jennifer Mcafee | Social Worker | 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 | 2018-11-21 |
| 1023583226 | Richard Flores | Physical Therapist | 1090 Med Park Dr., Las Cruces, NM 88005 | 2018-10-04 |
| 1982134771 | Madalyn Elyse Sprague | Behavior Technician | 1007 Ellendale Dr, Las Cruces, NM 88005 | 2017-06-14 |
| 1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
| 1790172641 | Amistad Milestones LLC | Speech-Language Pathologist | 3100 Oak Street, Las Cruces, NM 88005 | 2015-04-17 |
| 1043628753 | Richael Anne Bouvet-jenkins | Social Worker | 755 W. Hadley Avenue, Las Cruces, NM 88005 | 2014-07-25 |
| 1194133801 | Helena Catalina Melendez | Dental Hygienist | 385 Calle Alegra Blg C, Las Cruces, NM 88005 | 2014-07-25 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| 1982025599 | Richard Warren | Case Manager/Care Coordinator | 3109 Oak St., Las Cruces, NM 88005 | 2013-12-27 |
| Find all providers in zip 88005 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376925511 | Perla Dayana Acevedo | Day Training/Habilitation Specialist | 120 Wyatt Dr, Las Cruces, NM 88005-2925 | 2015-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186076 | Ohica-hadiya Ali | Day Training/Habilitation Specialist | 12700 Constitution Ave Ne Apt 9, Albuquerque, NM 87112-6067 | 2020-08-25 |
| 1720690092 | Kenneth Justin Schwartz | Day Training/Habilitation Specialist | 2319 Margarita Dr Se, Rio Rancho, NM 87124-2699 | 2020-08-18 |
| 1003424995 | Laetitia Marie Lucero | Day Training/Habilitation Specialist | 17c Lomas De La Cruz, Espanola, NM 87532-9048 | 2020-07-16 |
| 1265050256 | Aiyanna Amanda Woods-clark | Day Training/Habilitation Specialist | 440 Erbbe St Ne, Albuquerque, NM 87123-1138 | 2020-07-07 |
| 1821615923 | Ashlee Laughlin | Day Training/Habilitation Specialist | 420 Idalia Rd Sw, Rio Rancho, NM 87124-0845 | 2020-07-06 |
| 1982248068 | Shannon M Campbell | Day Training/Habilitation Specialist | 1126 Lafayette Dr Ne, Albuquerque, NM 87106-1904 | 2019-11-01 |
| 1053960757 | Rachael Lauren Corchine | Day Training/Habilitation Specialist | 6401 Santa Monica Ave Ne Apt 2086, Albuquerque, NM 87109-4166 | 2019-09-05 |
| 1457909095 | Naketta Jean Wiley | Day Training/Habilitation Specialist | 7709 Amy Marie Ct Nw, Albuquerque, NM 87120-6543 | 2019-08-27 |
| 1194371948 | Lorena Luevano | Day Training/Habilitation Specialist | 10600 Andalusian Ave Sw, Albuquerque, NM 87121-8949 | 2019-08-16 |
| 1609420223 | Ru'a Maadi | Day Training/Habilitation Specialist | 1200 Avenida Cesar Chavez Se Apt 423, Albuquerque, NM 87106-3902 | 2019-07-31 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88005 |
Please comment or provide details below to improve the information on DESERT HAVEN.
| 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.