Villa Guadalupe

LBN: Little Sisters Of The Poor Of New Mexico, Inc.
Villa Guadalupe is an health care organization with primary practice located at 1900 Mark Ave , Gallup NM 87301-4822. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Little Sisters Of The Poor Of New Mexico, Inc. can be contacted via phone (505) 863-6894, or through D'Mello, Mary Thomas via phone (505) 863-6894.

Contact Information

Primary practice address
1900 Mark Ave Gallup NM 87301-4822
Phone: (505) 863-6894
Fax: (505) 722-4121
Website:
Map and Directions
Authorized official contact:
Name: D'Mello, Mary Thomas
Phone: (505) 863-6894

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 5119 New Mexico

Profile Details

NPI number 1902022130
LBN Legal business name Little Sisters Of The Poor Of New Mexico, Inc.
DBA Doing business as Villa Guadalupe
Authorized official D'Mello, Mary Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Aug 22nd, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902022130 NPPES
New Mexico Other 5119 ARC LICENSE #

Popular Providers