Casa Mesita Group Home, Inc

LBN: Casa Mesita Group Home, Inc
Casa Mesita Group Home, Inc is an health care organization with primary practice located at 4007 Sycamore St , Los Alamos NM 87544-1728. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Casa Mesita Group Home, Inc can be contacted via phone (505) 662-4378, or through Bartholomew, Daniel via phone (505) 662-4378.

Contact Information

Primary practice address
4007 Sycamore St Los Alamos NM 87544-1728
Phone: (505) 662-4378
Fax: (505) 662-6834
Website:
Map and Directions
Authorized official contact:
Name: Bartholomew, Daniel
Phone: (505) 662-4378

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 4119 New Mexico

Profile Details

NPI number 1770721292
LBN Legal business name Casa Mesita Group Home, Inc
DBA Doing business as
Authorized official Bartholomew, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2009
Last updated Jan 22nd, 2009 - about 15 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 1770721292 NPPES
New Mexico MEDICAID 0000M0196

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