THI OF NEW MEXICO AT SUNSET VILLA, LLC


Address: 1515 S Sunset Ave, Roswell, NM 88203-2628
Phone: 5056237097

THI OF NEW MEXICO AT SUNSET VILLA, LLC (NPI# 1013004209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013004209
Entity Type Organization
Organization Name THI OF NEW MEXICO AT SUNSET VILLA, LLC
Other Organization Name SUNSET VILLA CARE CENTER
Practice Address 1515 S Sunset Ave
Roswell
NM 88203-2628
Mailing Address 930 Ridgebrook Rd
Sparks
MD 21152-9390
Practice Telephone 5056237097
Practice Fax Number 5056241307
Mailing Telephone 4107731000
Enumeration Date 2006-10-07
Last Update Date 2008-04-08
Authorized Official Name BUFFY ITOMITSU (PRESIDENT)
Authorized Official Telephone 5056237097
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NM 87001055 05

Other Provider/Organization Names

Other Name Type Code
Sunset Villa Care Center Doing Business As Name - Organization

Office Location

Street Address 1515 S SUNSET AVE
City ROSWELL
State NM
Zip Code 88203-2628

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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

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NPI Name Taxonomy Address Enumeration
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1609297670 Roswell Cypress LLC Skilled Nursing Facility 1109 Green St, Roswell, GA 30075 2013-12-18
1881781060 Casa Maria of New Mexico LLC Skilled Nursing Facility 1601 S Main St, Roswell, NM 88203-5436 2006-10-07

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1093280281 Diamond Care Santa Fe LLC Skilled Nursing Facility 635 Harkle Road, Santa Fe, NM 87505 2018-10-04
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1720477847 Julie Salcido Skilled Nursing Facility 9126 Seaside Rd Nw, Albuquerque, NM 87121-1939 2015-01-13
1003205188 Brian Walker Skilled Nursing Facility 10101 Lgrma Oro Rd Ne, Albuquerque, NM 87111-6022 2015-01-13
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Competitor

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City ROSWELL
Zip Code 88203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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