ANGELA CHAVEZ (NPI# 1861839235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861839235 |
| Entity Type | Organization |
| Organization Name | ANGELA CHAVEZ |
| Other Organization Name | PREMIER DEVELOPMENTAL SERVICES |
| Practice Address |
607 S Lea Ave Roswell NM 88203-4567 |
| Practice Telephone | 5754209541 |
| Mailing Telephone | 5754209541 |
| Enumeration Date | 2013-05-26 |
| Last Update Date | 2013-05-26 |
| Authorized Official Name | ANGELA TERESA CHAVEZ (OWNER/CEO) |
| Authorized Official Telephone | 5754209541 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Premier Developmental Services | Doing Business As Name - Organization |
| Street Address |
607 S LEA AVE |
| City | ROSWELL |
| State | NM |
| Zip Code | 88203-4567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922517606 | Newmex Case Management, LLC | Case Manager/Care Coordinator | 607 S Lea Ave, Roswell, NM 88203-4567 | 2017-09-25 |
| 1871022400 | Angela Chavez | Case Manager/Care Coordinator | 607 S Lea Ave, Roswell, NM 88203-4567 | 2017-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115586 | Katherine Bolin | Behavior Technician | 333 West Brasher Rd. #200, Roswell, NM 88203 | 2020-02-10 |
| 1437660040 | Pecos Valley Eye Surgery Center, LLC | Clinic/Center | 1610 Se Main Street, Roswell, NM 88203 | 2017-10-23 |
| 1285031286 | Wheelchair and Walker Rentals, Inc. | Durable Medical Equipment & Medical Supplies | 305 W Mcgaffey St, Roswell, NM 88203 | 2014-11-20 |
| 1447585914 | Whole World Health Care, PC | Pediatrics | 109 W. Bland, Roswell, NM 88203 | 2009-10-16 |
| 1780825372 | Complete Rehab Adult Services | Clinic/Center | 109 W Bland, Roswell, NM 88203 | 2009-03-12 |
| 1710127220 | Roswell Medical Care | Health Maintenance Organization | 111 W Hobbs, Roswell, NM 88203 | 2009-02-23 |
| 1336330513 | Savitri Aguiar | Internal Medicine | 1511 South Grand, Roswell, NM 88203 | 2007-08-05 |
| 1750455523 | Francisco Casio Bicol Jr. | Occupational Therapist | 200 W 1st St Ste 527, Roswell, NM 88203 | 2006-11-20 |
| 1699861542 | Susan Lee Voigt | Counselor | 200 W 1st, Ste 532, Roswell, NM 88203 | 2006-10-05 |
| 1245336940 | Founders Healthcare LLC | Durable Medical Equipment & Medical Supplies | 104 N Missouri Ave, Roswell, NM 88203 | 2006-09-16 |
| Find all providers in zip 88203 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629490263 | Aspire Developmental Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2603 W 25th St, Roswell, NM 88201-8878 | 2014-01-16 |
| 1548693203 | Hope Developmental Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1101 S Main St Ste B, Roswell, NM 88203-5614 | 2013-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306318423 | Tohatchi Area of Opportunity & Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1658 S Second St, Gallup, NM 87301-5817 | 2018-12-31 |
| 1437659638 | Tender Loving Care Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10213 Belnap Pl Nw, Albuquerque, NM 87114-4682 | 2018-02-15 |
| 1609382910 | Heartwell Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4123 Eubank Blvd Ne, Albuquerque, NM 87111-3421 | 2017-12-21 |
| 1255843330 | Janyce Wallace | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7700 Ranchwood Dr Nw, Albuquerque, NM 87120-4020 | 2017-10-30 |
| 1033569074 | Sorinity Support Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 818 W Granada St, Espanola, NM 87532-2409 | 2016-06-21 |
| 1568801017 | Collins Lake Autism Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 246 Encinal Road, Cleveland, NM 87715 | 2013-06-18 |
| 1538444625 | Milagro De Vida Community Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2249 Santa Ana, Las Cruces, NM 88011-9082 | 2011-10-20 |
| 1255636221 | Onyx Supportive Living LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5301 Crooked Creek Ave Nw, Albuquerque, NM 87114-4193 | 2011-01-21 |
| 1154625275 | Mandy's Special Farm | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 346 Clark Rd Sw, Albuquerque, NM 87105-7546 | 2011-01-04 |
| 1902072697 | Great Livin', LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4213 Ponderosa Ave Ne, Albuquerque, NM 87110-1031 | 2008-05-02 |
| Find all providers with the same taxonomy | ||||
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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.