VILLA SANTA MARIA (NPI# 1124156815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124156815 |
| Entity Type | Organization |
| Organization Name | VILLA SANTA MARIA |
| Practice Address |
19 Cirquela Rd Cedar Crest NM 87008 |
| Mailing Address |
Po Box 156 Cedar Crest NM 87008 |
| Practice Telephone | 5052813609 |
| Practice Fax Number | 5052810124 |
| Mailing Telephone | 5052813609 |
| Mailing Fax Number | 5052810124 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2008-08-22 |
| Authorized Official Name | JOSEPH J MCGUILL (CEO) |
| Authorized Official Telephone | 5052813609 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 1115 | NM | Residential Treatment Facilities |
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 1116 | NM | Residential Treatment Facilities |
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 1114 | NM | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VILLA SANTA MARIA | 1830 Bennett Ave, Dallas, TX 75206-7509 |
| Colorado Business Entities | VILLA SANTA MARIA INCORPORATED | 405 E. Saint Elmo Avenue, Colorado Springs, CO 80906 |
| Street Address |
19 CIRQUELA RD |
| City | CEDAR CREST |
| State | NM |
| Zip Code | 87008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090342 | Rio Grande Emdr Therapy, LLC | Community/Behavioral Health | 6 Sierra Vista Drive, Cedar Crest, NM 87008 | 2020-10-15 |
| 1487973145 | Phoenix Helm Simpson | Marriage & Family Therapist | 10 Haven Dr., Cedar Crest, NM 87008 | 2010-05-20 |
| 1548404825 | Amir H. Manoutchehri M.d. PC | Clinic/Center | 12125 State Highway 14 N., Cedar Crest, NM 87008 | 2009-04-30 |
| 1649412321 | Justin Andrew Kan | Emergency Medicine | 50 Calyx Ln, Cedar Crest, NM 87008 | 2009-03-27 |
| 1316184831 | Monique Y Keulen-nolet | Nurse Practitioner | 12127b North Highway 14, Suite #5, Cedar Crest, NM 87008 | 2009-01-21 |
| 1023141215 | Jana R. Covell | Physical Therapist | 12127 B3 N. Hwy 14, Cedar Crest, NM 87008 | 2007-03-14 |
| 1083740971 | Amy Beth Marie Miller | Physical Therapist | 12127 B-3 North Highway 14, Cedar Crest, NM 87008 | 2007-02-26 |
| 1215019237 | Cedar Crest Vision LLC | Optometrist | 12220 North Highway 14, Suite 3, Cedar Crest, NM 87008 | 2006-10-19 |
| 1972519759 | Orrin Kent Mcleod | Family Medicine | 12127b N Hwy 14, Suite 5, Cedar Crest, NM 87008 | 2006-07-31 |
| 1538141221 | Lynda Ann Green | Nurse Practitioner | 12127b Hwy 14 N, Ste 5, Cedar Crest, NM 87008 | 2005-11-17 |
| Find all providers in zip 87008 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407376585 | Amikids Sandoval, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | #20 Pond Road, Sandoval, NM 87013 | 2017-06-21 |
| 1952549875 | Youth Odyssey Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 605 White Mountain Meadows Dr, Ruidoso, NM 88345-5816 | 2009-01-30 |
| 1770721292 | Casa Mesita Group Home, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 4007 Sycamore St, Los Alamos, NM 87544-1728 | 2009-01-22 |
| 1942404090 | Zimmerman Consulting, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 15 Jemez Drive, Los Lunas, NM 87031-7624 | 2007-06-13 |
| 1497872550 | New Vision Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 919 Rencher St, Clovis, NM 88101-5858 | 2007-03-23 |
| 1407990500 | Nm Department of Health | Residential Treatment Facility, Emotionally Disturbed Children | 3405 Pan American Fwy Ne, Albuquerque, NM 87107-4786 | 2007-02-20 |
| 1518010222 | Assurance Home Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1000 E 18th St, Roswell, NM 88201-7532 | 2007-01-18 |
| 1962569640 | Our Lady of Mount Carmel | Residential Treatment Facility, Emotionally Disturbed Children | 300 Mount Carmel Ave, Gallup, NM 87301-7411 | 2007-01-02 |
| 1306910484 | Cyfd-state of New Mexico-laplacita | Residential Treatment Facility, Emotionally Disturbed Children | 3102 N Florida Ave, Alamogordo, NM 88310-9713 | 2006-11-20 |
| 1699849794 | Cyfd-state of New Mexico | Residential Treatment Facility, Emotionally Disturbed Children | 3409 Pan American Fwy Ne, 3409 Pan American Frwy, Albuquerque, NM 87107-4786 | 2006-11-20 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR CREST |
| Zip Code | 87008 |
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| 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.