NPI 1992867998

State of New Mexico

Organisation Nursing Facility/Intermediate Care Facility Las Vegas, NM

Practice location

Address: 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549
Phone: (505) 454-2100
Mailing address: 3695 Hot Springs Blvd., Las Vegas, NM 87701-9549

Authorised official

Name: Charles Jaramillo
Title: Chief Operating Officer
Phone: (505) 454-2306

Registered specialties (4)

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 5067 (NM)

Other Nursing Facility/Intermediate Care Facility providers in New Mexico →

Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X Licence 3035 (NM)

Other Clinic/Center providers in New Mexico →

Psychiatric Hospital

Hospitals Taxonomy 283Q00000X Licence 6011 (NM)

Other Psychiatric Hospital providers in New Mexico →

Emotionally Disturbed Childrens' Residential Treatment Facility

Residential Treatment Facilities Taxonomy 322D00000X Licence 7257 (NM)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in New Mexico →

Registry record

NPI: 1992867998
Entity type: Organization
NPI issued: 15 Dec 2006
Record last updated: 11 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.