FOUR WINDS RECOVERY CENTER,INC (NPI# 1669539656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669539656 |
| Entity Type | Organization |
| Organization Name | FOUR WINDS RECOVERY CENTER,INC |
| Other Organization Name | SAN JUAN DETOXIFICATION CENTER,INC |
| Practice Address |
1313 Mission Ave. Farmington NM 87401-5008 |
| Practice Telephone | 5053277218 |
| Practice Fax Number | 5053270828 |
| Mailing Telephone | 5053277218 |
| Mailing Fax Number | 5053270828 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2013-01-24 |
| Authorized Official Name | MS. JOLENE MARIE SCHNEIDER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5053277218 |
| Authorized Official Credential | BA, LADAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 5316 | NM | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| San Juan Detoxification Center,INC | Former Legal Business Name - Organization |
| Street Address |
1313 MISSION AVE. |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861040875 | Monica N Ortega | Counselor | 1313 Mission Ave., Farmington, NM 87401 | 2019-09-03 |
| 1801326764 | Miranda B Bekis | Counselor | 1313 Mission Ave., Farmington, NM 87401 | 2017-06-14 |
| 1548791445 | Roxie Moore | Counselor | 1313 Mission Ave., Farmington, NM 87401 | 2017-03-22 |
| 1982154134 | Anthony Floyd I | Counselor | 1313 Mission Ave., Farmington, NM 87401 | 2016-10-12 |
| 1134543564 | Vickie Busby | Counselor | 1313 Mission Ave., Farmington, NM 87401 | 2014-02-05 |
| 1962735837 | Catherine Thomas-kemp | Counselor | 1313 Mission Ave., Farmington, NM 87401 | 2009-09-10 |
| 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 | 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 |
|---|---|---|---|---|
| 1104082114 | Haven Chemical Health Systems, LLC | Substance Abuse Rehabilitation Facility | 22355 Albatross Cir, Farmington, MN 55024-9537 | 2008-07-30 |
| 1740447069 | San Juan County | Substance Abuse Rehabilitation Facility | 1006 Municipal Dr, Farmington, NM 87401-5442 | 2008-05-22 |
| 1235292327 | Another Way Inc | Substance Abuse Rehabilitation Facility | 708 Nelson Road, Farmington, PA 15437 | 2006-12-19 |
| 1700243573 | Renaissance Ranch Outpatient Treatment | Substance Abuse Rehabilitation Facility | 1466 N Highway 89 Ste 230, Farmington, UT 84025-2738 | 2016-01-25 |
| 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 |
| 1619269446 | The Jericho House | Substance Abuse Rehabilitation Facility | 2845 Dona Ana Rd, Las Cruces, NM 88007-5239 | 2011-05-12 |
| 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 |
| Find all providers with the same taxonomy | ||||
| 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.