Childhaven, Inc

LBN: Childhaven, Inc
Childhaven, Inc is an health care organization with primary practice located at 807 W. Apache St. , Farmington NM 87401. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Agencies / Foster Care Agency. Agencies / Foster Care Agency is the primary health care specialty. Childhaven, Inc can be contacted via phone (505) 325-5358, or through Dean, Diane via phone (505) 325-5358.

Contact Information

Primary practice address
807 W. Apache St. Farmington NM 87401
Phone: (505) 325-5358
Fax: (505) 327-1482
Website:
Map and Directions
Authorized official contact:
Name: Dean, Diane CPA
Phone: (505) 325-5358

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X CASE MANAGEMENT New Mexico
Agencies / Case Management 251B00000X New Mexico
Agencies / Community/Behavioral Health 251S00000X 4151 New Mexico
Agencies / Community/Behavioral Health 251S00000X TREATMENT FOSTER CAR New Mexico
Agencies / Community/Behavioral Health 251S00000X New Mexico
Agencies / Foster Care Agency 253J00000X TREATMENTFOSTER CARE New Mexico
Agencies / Foster Care Agency 253J00000X 4151 New Mexico

Profile Details

NPI number 1144303074
LBN Legal business name Childhaven, Inc
DBA Doing business as
Authorized official Dean, Diane CPA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Jul 10th, 2014 - about 10 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 1144303074 NPPES
New Mexico MEDICAID K3385
New Mexico Other 21138761

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