New Mexico State Veterans Home

LBN: State Of New Mexico
New Mexico State Veterans Home is an health care organization with primary practice located at 992 S Broadway , Truth Or Consequences NM 87901-3198. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. State Of New Mexico can be contacted via phone (575) 894-4200, or through Richter, Marie R via phone (575) 894-4216.

Contact Information

Primary practice address
992 S Broadway Truth Or Consequences NM 87901-3198
Fax: (575) 894-4291
Website:
Authorized official contact:
Name: Richter, Marie R

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 5087 New Mexico
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 5363 New Mexico

Profile Details

NPI number 1942287370
LBN Legal business name State Of New Mexico
DBA Doing business as New Mexico State Veterans Home
Authorized official Richter, Marie R
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 28th, 2005
Last updated Apr 5th, 2010 - about 14 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 1942287370 NPPES
New Mexico MEDICAID I0480

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