Shadow Rock Care Services
LBN: Sm Gantz Ot Services
Shadow Rock Care Services is an health care organization with primary practice located at 1485 N Main St Ste A , Las Cruces NM 88001-1182. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty.
Sm Gantz Ot Services can be contacted via phone (575) 288-1969, or through Gantz, Bryan Keith via phone (575) 312-0120.
Contact Information
Primary practice address
1485 N Main St Ste A
Las Cruces NM 88001-1182
Phone: (575) 288-1969
Fax: (575) 532-9539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X |
Profile Details
| NPI number | 1275174658 |
|---|---|
| LBN Legal business name | Sm Gantz Ot Services |
| DBA Doing business as | Shadow Rock Care Services |
| Authorized official | Gantz, Bryan Keith NCG |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 7th, 2019 |
| Last updated | May 21st, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275174658 | NPPES |
| New Mexico | Other | 0000082220 | NATIONAL CERTIFIED GUARDIAN |
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