PROGRESSIVE RESIDENTIAL SERVICES OF NEW MEXICO, INC. (NPI# 1801942529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801942529 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE RESIDENTIAL SERVICES OF NEW MEXICO, INC. |
| Other Organization Name | P.R.S. OF NEW MEXICO |
| Practice Address |
250 S Main St Suite A Las Cruces NM 88001-1278 |
| Mailing Address |
6001 N Adams Rd Suite 165 Bloomfield Hills MI 48304-1566 |
| Practice Telephone | 5755238431 |
| Mailing Telephone | 2486417200 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2015-02-05 |
| Authorized Official Name | RACHEL GUILFORD (COO) |
| Authorized Official Telephone | 2486417200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | D4244 | 05 |
| Other Name | Type Code |
|---|---|
| P.R.S. of New Mexico | Other Name - Individual/Organization |
| Street Address |
250 S MAIN ST SUITE A |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001-1278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336608298 | Brianna K Rodriguez | Case Manager/Care Coordinator | 250 S Main St, Las Cruces, NM 88001-1278 | 2019-03-19 |
| 1992243513 | Epoch Integrated Health Services | Counselor | 250 S Main St, Las Cruces, NM 88001-1278 | 2017-02-02 |
| 1144767104 | Laura Smith | Nurse Practitioner | 250 S Main St, Las Cruces, NM 88001-1278 | 2017-01-27 |
| 1245616002 | Sarah Jane Kidd | Social Worker | 250 S Main St, Las Cruces, NM 88001-1278 | 2015-08-04 |
| 1568866739 | Dawna Elaine Bleimeyer | Social Worker | 250 S Main St, Las Cruces, NM 88001-1278 | 2014-10-17 |
| 1023307253 | Epoch Behavioral Healthcare Inc | Psychiatry & Neurology | 250 S Main St, Las Cruces, NM 88001-1278 | 2011-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588289334 | Solana Care, Lc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4101 Morris St Ne Ste F, Albuquerque, NM 87111-3605 | 2020-06-08 |
| 1316331176 | Kara Michelle Robinson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1217 Jelso Ave, Grants, NM 87020-3818 | 2015-03-19 |
| 1982045373 | Better Days LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7519 Via Serenita Sw, Albuquerque, NM 87121-2132 | 2013-07-13 |
| 1770877961 | Gr8expectations | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 83 2nd St Se, Rio Rancho, NM 87124-0786 | 2011-06-05 |
| 1255622965 | Coyote Canyon Rehabilitation Center, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10 Miles East Navajo Route #9, Brimhall, NM 87310 | 2011-04-28 |
| 1639478985 | Tender Mercies | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9520 Cache Creek Dr Nw, Albuquerque, NM 87114-6103 | 2011-03-24 |
| 1891090924 | Rise Above, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12744 Tomlinson Dr Se, 12744 Tomlinson Dr Se, Albuquerque, NM 87123-3716 | 2011-01-20 |
| 1992944557 | Sequel of New Mexico, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1801 Randolph Rd Se, Albuquerque, NM 87106-4230 | 2009-02-05 |
| 1316111446 | Alianza Family Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 298 Placitas Rd Nw, Albuquerque, NM 87107-5331 | 2008-04-18 |
| 1598966152 | Expressions Unlimited | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 525 San Pedro Dr Ne, Suite 102, Box 210, Albuquerque, NM 87108-1891 | 2007-05-30 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
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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.