ARCA - COPPER HOME


Address: 9101 Copper Ave Ne, Albuquerque, NM 87123-1007
Phone: 5053326814

ARCA - COPPER HOME (NPI# 1295870020) 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) 1295870020
Entity Type Organization
Organization Name ARCA - COPPER HOME
Practice Address 9101 Copper Ave Ne
Albuquerque
NM 87123-1007
Mailing Address 11300 Lomas Blvd Ne
Albuquerque
NM 87112-5512
Practice Telephone 5053326814
Practice Fax Number 5053326800
Mailing Telephone 5053326814
Mailing Fax Number 5053326800
Enumeration Date 2007-02-20
Last Update Date 2020-08-22
Authorized Official Name MR. VINCE SMITH (DIRECTOR)
Authorized Official Telephone 5053326814
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded 5025 NM Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NM M0303 05

Office Location

Street Address 9101 COPPER AVE NE
City ALBUQUERQUE
State NM
Zip Code 87123-1007

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497360291 Frances J. Dewent Technician 504 Aragon St Se, Albuquerque, NM 87123 2020-09-09
1275042293 Amanda Valdez-androlewicz Nurse Practitioner 1117 Monte Largo Dr Ne, Albuquerque, NM 87123 2017-09-21
1740708809 11.11, LLC Case Manager/Care Coordinator 11724 Copper Pl Ne, Albuquerque, NM 87123 2017-09-08
1710375365 Diane Crouse Occupational Therapist 820 Monte Alto Dr Ne, Albuquerque, NM 87123 2015-01-06
1346640760 Christopher Trout Physical Therapist 11419 Deer Lodge Rd Se, Albuquerque, NM 87123 2014-09-04
1255682944 Armstrong Medical LLC Physician Assistant 13170 Central Ave Se, Suite B 345, Albuquerque, NM 87123 2012-09-21
1467709006 Tomas Maestas Emergency Medical Technician, Paramedic 1515 Eubank Blvd Se Bldg. 831/832, Albuquerque, NM 87123 2012-08-14
1831476951 Shellie Nicole Field Pharmacist 1515 Eubank Se, Bldg 831 Rm 143, Albuquerque, NM 87123 2011-11-03
1023325768 Moss Trompeter Pharmacist 1931 Cam Fella St Se, Albuquerque, NM 87123 2010-09-01
1114239522 Miguel A. Perez Abreu Preventive Medicine 600 Wyoming Blvd Ne, Albuquerque, NM 87123 2010-07-14
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750947420 Great Livin II LLC Intermediate Care Facility, Mentally Retarded 4028 Mescalero Rd Ne, Albuquerque, NM 87110-1754 2019-05-17
1720123565 Arca - Gun Club Intermediate Care Facility, Mentally Retarded 2404 Gun Club Rd Sw, Albuquerque, NM 87105-6326 2007-02-20
1043355878 Arca - Gibson Home Intermediate Care Facility, Mentally Retarded 5605 Gibson Blvd Se, Albuquerque, NM 87108-4831 2007-02-20
1336284165 Arca - Trumbull Intermediate Care Facility, Mentally Retarded 7100 Trumbull Ave Se, Albuquerque, NM 87108-3984 2007-02-20
1134264971 Arca - Louisiana Intermediate Care Facility, Mentally Retarded 615 Louisiana Blvd Se, Albuquerque, NM 87108-3844 2007-02-20
1740325588 Arca - Park Intermediate Care Facility, Mentally Retarded 1120 Louisiana Blvd Se, Albuquerque, NM 87108-5009 2007-02-20
1275678005 Arca - South Valley Intermediate Care Facility, Mentally Retarded 2206 El Centro Familiar Blvd Sw, Albuquerque, NM 87105-4555 2007-02-20
1013067974 Casa Angelica Intermediate Care Facility, Mentally Retarded 5629 Isleta Blvd Sw, Albuquerque, NM 87105-6623 2007-01-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043688088 Evershine Care, LLC Intermediate Care Facility, Mentally Retarded 4844 Calle Bella Ave, Las Cruces, NM 88012-7066 2015-09-08
1548474141 New Horizons Casa Linda Intermediate Care Facility, Mentally Retarded 810 Avenue E, Carrizozo, NM 88301-0187 2007-05-10
1386773398 Carc, Inc. Intermediate Care Facility, Mentally Retarded 902 W Cherry Ln, Carlsbad, NM 88220-8804 2007-03-05
1851428577 Santa Maria El Mirador Intermediate Care Facility, Mentally Retarded 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 2007-02-28
1992830012 Arca - Corrales Intermediate Care Facility, Mentally Retarded 181 East La Entrada, Corrales, NM 87048 2007-02-22
1700948999 New Horizons Developmental Ctr Inc Intermediate Care Facility, Mentally Retarded 810 E Ave, Carrizozo, NM 88301 2006-12-14
1124189048 New Mexico Department of Health Intermediate Care Facility, Mentally Retarded 84 Estancia Road, Belen, NM 87002 2006-12-13
1801282983 Carc, Inc. Orchard Home 3 Intermediate Care Facility, Mentally Retarded 902 W Cherry Ln, Carlsbad, NM 88220-8804 2015-04-15
1992191076 Carc, Inc. Orchard Home 2 Intermediate Care Facility, Mentally Retarded 902 W Cherry Ln, Carlsbad, NM 88220-8804 2015-04-15
1710373899 Carc, Inc. Orchard Home 4 Intermediate Care Facility, Mentally Retarded 902 W Cherry Ln, Carlsbad, NM 88220-8804 2015-04-15
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Competitor

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City ALBUQUERQUE
Zip Code 87123

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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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