New Vision Group Home

LBN: New Vision Group Home
New Vision Group Home is an health care organization with primary practice located at 919 Rencher St , Clovis NM 88101-5858. 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. New Vision Group Home can be contacted via phone (505) 769-2142, or through Baker, Evan via phone (505) 769-2142.

Contact Information

Primary practice address
919 Rencher St Clovis NM 88101-5858
Phone: (505) 769-2142
Fax: (505) 769-2161
Website:
Map and Directions
Authorized official contact:
Name: Baker, Evan
Phone: (505) 769-2142

Health care specialties

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

Profile Details

NPI number 1497872550
LBN Legal business name New Vision Group Home
DBA Doing business as
Authorized official Baker, Evan
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497872550 NPPES
New Mexico MEDICAID 04937261

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