THE JERICHO HOUSE (NPI# 1619269446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619269446 |
| Entity Type | Organization |
| Organization Name | THE JERICHO HOUSE |
| Practice Address |
2845 Dona Ana Rd Las Cruces NM 88007-5239 |
| Practice Telephone | 5759150450 |
| Practice Fax Number | 5759150450 |
| Mailing Telephone | 5759150450 |
| Mailing Fax Number | 5759150450 |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |
| Authorized Official Name | MR. REGINALD ANTHONY GIBBS (PASTOR/DIRECTOR) |
| Authorized Official Telephone | 5759150450 |
| Authorized Official Credential | ORDINATION |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528434149 | The Jericho House | Clinic/Center | 6757 Duncan Bridge Rd, Cleveland, GA 30528-5170 | 2015-08-18 |
| Street Address |
2845 DONA ANA RD |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88007-5239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952814196 | Debra G Hanus | Registered Nurse | 12325 Fort Mcrae Rd., Las Cruces, NM 88007 | 2017-11-09 |
| 1730698309 | Equine Assisted Programs of Southern New Mexico LLC | Clinic/Center | 190 Providence Road, Las Cruces, NM 88007 | 2017-09-26 |
| 1952841926 | Kimberly Danielle Diaz | Marriage & Family Therapist | 471 Alvillar Rd, Las Cruces, NM 88007 | 2017-02-24 |
| 1326420951 | Juan Mendoza | Psychologist | 715 E. Idaho, Las Cruces, NM 88007 | 2015-06-19 |
| 1801206974 | Sonnie Michelle Sanchez | Case Manager/Care Coordinator | 2211 N. Valley Dr., Las Cruces, NM 88007 | 2014-04-29 |
| 1932528171 | Carrie A Jones | Case Manager/Care Coordinator | 2211 N. Valley, Las Cruces, NM 88007 | 2014-04-15 |
| 1881015402 | Tony Trevino | Case Manager/Care Coordinator | 660 Copa Lane, Las Cruces, NM 88007 | 2013-12-27 |
| 1982025508 | Gilbert L Barela | Case Manager/Care Coordinator | 440 Helens Place, Las Cruces, NM 88007 | 2013-12-27 |
| 1497176010 | Heather Barela | Case Manager/Care Coordinator | 305 Windchime Lane, Las Cruces, NM 88007 | 2013-12-27 |
| 1962833194 | Sylvia Trevino | Case Manager/Care Coordinator | 660 Copa Ln., Las Cruces, NM 88007 | 2013-12-13 |
| Find all providers in zip 88007 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505452 | Innovative Mat Solutions, LLC | Substance Abuse Rehabilitation Facility | 2215 Ambassador Rd Ne Apt 37, Albuquerque, NM 87112-2767 | 2019-12-11 |
| 1225509250 | Recovery House LLC | Substance Abuse Rehabilitation Facility | 9171 Glendale Ave Ne, Albuquerque, NM 87122-3805 | 2018-12-17 |
| 1427535251 | Full Circle Recovery | Substance Abuse Rehabilitation Facility | 3056 Frontier Ave. Ne, Albuquerque, NM 87106-8710 | 2018-07-24 |
| 1679007744 | Eight Northern Indian Pueblos | Substance Abuse Rehabilitation Facility | 579 White Swan Rd, 327 Eagle Drive, Ohkay Owingeh, NM 87566 | 2017-04-17 |
| 1295154888 | Shadow Mountain LLC. | Substance Abuse Rehabilitation Facility | 250 Shadow Mountain Rd., Taos, NM 87571 | 2014-04-10 |
| 1063641819 | Nm Department of Health | Substance Abuse Rehabilitation Facility | 100 Calle De Central, Fort Bayard, NM 88036 | 2009-07-14 |
| 1376770214 | The Consortium | Substance Abuse Rehabilitation Facility | 571 North Tenth Street, Fort Sumner, NM 88119-0427 | 2009-06-18 |
| 1386870137 | Dismas House Nm Inc. | Substance Abuse Rehabilitation Facility | 701 Candelaria Rd Nw, Albuquerque, NM 87107-2407 | 2009-06-08 |
| 1760621007 | Shadow Mountain LLC. | Substance Abuse Rehabilitation Facility | 5400 Gibson Blvd. S. E, 3rd Floor, Albuquerque, NM 87109 | 2009-02-10 |
| 1235375460 | Regional Substance Abuse Treatment Initiative | Substance Abuse Rehabilitation Facility | 519 North 10th. Street, Fort Sumner, NM 88119 | 2008-12-17 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88007 |
Please comment or provide details below to improve the information on THE JERICHO HOUSE.
| 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.