STATE OF NEW MEXICO (NPI# 1992867998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992867998 |
| Entity Type | Organization |
| Organization Name | STATE OF NEW MEXICO |
| Other Organization Name | NM BEHAVIORAL HEALTH INSTITUTE AT LAS VEGAS |
| Practice Address |
3695 Hot Springs Blvd Las Vegas NM 87701-9549 |
| Mailing Address |
3695 Hot Springs Blvd. Las Vegas NM 87701-9549 |
| Practice Telephone | 5054542100 |
| Mailing Telephone | 5054542100 |
| Mailing Fax Number | 5054542130 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2015-02-11 |
| Authorized Official Name | MR. CHARLES JARAMILLO (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 5054542306 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF NEW MEXICO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
3035 | NM | Ambulatory Health Care Facilities |
| N | 283Q00000X | Psychiatric Hospital | 6011 | NM | Hospitals |
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 7257 | NM | Residential Treatment Facilities |
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 5067 | NM | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | NM600303 | 05 | |
| NM | 50724 | 05 | |
| NM | I0126 | 05 | |
| NM | 96296 | 05 | |
| NM | M1545 | 05 |
| Other Name | Type Code |
|---|---|
| NM Behavioral Health Institute at Las Vegas | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740659150 | State of New Mexico | Pharmacy | 41 Fort Bayard Rd, Santa Clara, NM 88026 | 2015-09-16 |
| 1457539322 | State of New Mexico | Public Health or Welfare | 2025 S Pacheco St, Santa Fe, NM 87505-3991 | 2008-02-04 |
| 1982730669 | State of New Mexico | Skilled Nursing Facility | 41 Fort Bayard Road, Santa Clara, NM 88026 | 2007-02-26 |
| 1578609459 | State of New Mexico | Public Health or Welfare | 605 Letrado, Santa Fe, NM 87505 | 2007-01-29 |
| 1508914896 | State of New Mexico | Case Management | 2040 S Pacheco St, Santa Fe, NM 87505-5472 | 2007-01-05 |
| 1942287370 | State of New Mexico | Skilled Nursing Facility | 992 S Broadway, Truth Or Consequences, NM 87901-3198 | 2005-12-28 |
| 1578075016 | State of New Mexico | Special Hospital | 72 Gail Harris St, Roswell, NM 88203-8116 | 2017-10-24 |
| 1518294107 | State of New Mexico | Psychiatric Hospital | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2009-11-03 |
| 1578730230 | State of New Mexico | Skilled Nursing Facility | 992 S Broadway, Truth Or Consequences, NM 87901-3198 | 2008-05-13 |
| 1972784544 | State of New Mexico | Public Health or Welfare | 605 Letrado, Santa Fe, NM 87505 | 2007-11-23 |
| Street Address |
3695 HOT SPRINGS BLVD |
| City | LAS VEGAS |
| State | NM |
| Zip Code | 87701-9549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114916319 | New Mexico Behavioral Health Institute | Nursing Facility/Intermediate Care Facility | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2005-10-19 |
| 1871156208 | Jessica Espinoza | Registered Nurse | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2019-04-22 |
| 1447713342 | Julie Ruby Esquibel | Registered Nurse | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2019-04-09 |
| 1073085791 | Amanda Gonzales | Social Worker | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2018-12-19 |
| 1831664853 | Raquel Trujillo | Counselor | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2018-10-05 |
| 1063991057 | Lonnie C Lucero | Case Manager/Care Coordinator | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2018-08-09 |
| 1992290423 | Katie Hettinger | Case Manager/Care Coordinator | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2018-06-27 |
| 1467967190 | Andrew P Valdez | Case Manager/Care Coordinator | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2017-12-04 |
| 1639600208 | Larence Sanchez | Registered Nurse | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2017-03-24 |
| 1457895591 | Maria Gallardo | Registered Nurse | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2016-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851884423 | Nueva Vida Counseling and Consulting Services LLC | Community/Behavioral Health | Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 | 2018-06-08 |
| 1316475403 | El Centro Family Health | Family Medicine | 475 Legion Dr., Las Vegas, NM 87701 | 2017-06-01 |
| 1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
| 1013369222 | Home Medical Equipment Specialists,llc | Durable Medical Equipment & Medical Supplies | 514 8th Street, Las Vegas, NM 87701 | 2016-07-12 |
| 1750730826 | John Michael Tourangeau | Social Worker | 1920 7th Street, Las Vegas, NM 87701 | 2016-06-08 |
| 1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
| 1023409521 | Ambercare Medical Supply | Durable Medical Equipment & Medical Supplies | 1747 N Grand Ave, Las Vegas, NM 87701 | 2015-02-05 |
| 1538561964 | El Centro Family Health | Clinic/Center | 947 Old National Road, Las Vegas, NM 87701 | 2014-09-17 |
| 1164832150 | Plaza Drugs | Pharmacist | 178 Bridge St, Las Vegas, NM 87701 | 2014-04-30 |
| 1043648165 | Open Doors Home Health Care | Home Health | 713 Railroad Ave., Las Vegas, NM 87701 | 2013-10-29 |
| Find all providers in zip 87701 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235520867 | Globalcat Health & Hit Consulting | Nursing Facility/Intermediate Care Facility | 9176 Umberland Ave, Las Vegas, NV 89149-3029 | 2015-02-18 |
| 1659545648 | Department of Veterans Affairs | Nursing Facility/Intermediate Care Facility | 5555 Baker Bowl Ct, Las Vegas, NV 89148-4630 | 2008-04-22 |
| 1558497784 | Gaye Haven Intermediate Care Fac | Nursing Facility/Intermediate Care Facility | 1813 Betty Lane, Las Vegas, NV 89156-6728 | 2007-02-23 |
| 1043200454 | Brookhaven Nursing Home | Nursing Facility/Intermediate Care Facility | 813 4th St, Las Vegas, NM 87701-4422 | 2005-10-26 |
| 1114916319 | New Mexico Behavioral Health Institute | Nursing Facility/Intermediate Care Facility | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2005-10-19 |
| 1992707806 | Eljen Medical Hospital | Nursing Facility/Intermediate Care Facility | 5538 Duncan Dr, Las Vegas, NV 89130-2812 | 2005-08-10 |
| 1497117832 | Candy Pemberton | Nursing Facility/Intermediate Care Facility | 6255 W Tropicana Ave, Apt 343, Las Vegas, NV 89103-4603 | 2016-03-24 |
| 1215364922 | Jewel Deguzman | Nursing Facility/Intermediate Care Facility | 2224 Canary Way, Las Vegas, NV 89106-1912 | 2013-09-27 |
| 1831494673 | Mojave Mental Health | Nursing Facility/Intermediate Care Facility | 4000 E Charleston Blvd, Ste 230, Las Vegas, NV 89104-6659 | 2011-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164639027 | El Castillo Retirement Residences | Nursing Facility/Intermediate Care Facility | 250 E Alameda St, Santa Fe, NM 87501-2186 | 2007-05-17 |
| 1457456576 | Zia Home Care | Nursing Facility/Intermediate Care Facility | 144 Scottsdale Dr, Clovis, NM 88101-2739 | 2006-09-13 |
| 1124059084 | South Valley Care Center, LLC | Nursing Facility/Intermediate Care Facility | 1629 Bowe Ln Sw, Albuquerque, NM 87105-3772 | 2006-07-06 |
| 1730117722 | Los Alamos Retirement Center, Inc. | Nursing Facility/Intermediate Care Facility | 1011 Sombrillo Ct, Los Alamos, NM 87544-3246 | 2006-06-29 |
| 1235132820 | Sierra Health Care Inc | Nursing Facility/Intermediate Care Facility | 1400 N Silver St, Truth Or Consequences, NM 87901-1957 | 2005-05-27 |
| 1356663298 | Mescalero Indian Hospital | Nursing Facility/Intermediate Care Facility | 318 Abalone Loop, Mescalero, NM 88340-0318 | 2010-02-19 |
| 1073749487 | South Central Colfax County Special Hospital District | Nursing Facility/Intermediate Care Facility | 615 Prospect Ave, Springer, NM 87747 | 2009-06-01 |
| 1871630665 | Miners Colfax Medical Center | Nursing Facility/Intermediate Care Facility | 900 S 6th St, Raton, NM 87740-4224 | 2007-01-31 |
Please comment or provide details below to improve the information on STATE OF NEW MEXICO.
| 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.