Arca - Gibson Home

LBN: Arca - Gibson Home
Arca - Gibson Home is an health care organization with primary practice located at 5605 Gibson Blvd Se , Albuquerque NM 87108-4831. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Arca - Gibson Home can be contacted via phone (505) 332-6814, or through Smith, Vince via phone (505) 332-6814.

Contact Information

Primary practice address
5605 Gibson Blvd Se Albuquerque NM 87108-4831
Fax: (505) 332-6800
Website:
Authorized official contact:
Name: Smith, Vince

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 5028 New Mexico

Profile Details

NPI number 1043355878
LBN Legal business name Arca - Gibson Home
DBA Doing business as
Authorized official Smith, Vince
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Jun 4th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043355878 NPPES
New Mexico MEDICAID M0444

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