TOHATCHI AREA OF OPPORTUNITY & SERVICES (NPI# 1306318423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306318423 |
| Entity Type | Organization |
| Organization Name | TOHATCHI AREA OF OPPORTUNITY & SERVICES |
| Practice Address |
1658 S Second St Gallup NM 87301-5817 |
| Mailing Address |
Po Box 49 Tohatchi NM 87325-0049 |
| Practice Telephone | 5057229287 |
| Practice Fax Number | 5057229189 |
| Mailing Telephone | 5057229287 |
| Mailing Fax Number | 5057229189 |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2018-12-31 |
| Authorized Official Name | KIMBER CROWE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5057229287 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | D1703 | 05 |
| Street Address |
1658 S SECOND ST |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-5817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437659638 | Tender Loving Care Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10213 Belnap Pl Nw, Albuquerque, NM 87114-4682 | 2018-02-15 |
| 1609382910 | Heartwell Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4123 Eubank Blvd Ne, Albuquerque, NM 87111-3421 | 2017-12-21 |
| 1255843330 | Janyce Wallace | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7700 Ranchwood Dr Nw, Albuquerque, NM 87120-4020 | 2017-10-30 |
| 1033569074 | Sorinity Support Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 818 W Granada St, Espanola, NM 87532-2409 | 2016-06-21 |
| 1629490263 | Aspire Developmental Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2603 W 25th St, Roswell, NM 88201-8878 | 2014-01-16 |
| 1548693203 | Hope Developmental Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1101 S Main St Ste B, Roswell, NM 88203-5614 | 2013-08-16 |
| 1568801017 | Collins Lake Autism Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 246 Encinal Road, Cleveland, NM 87715 | 2013-06-18 |
| 1861839235 | Angela Chavez | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 607 S Lea Ave, Roswell, NM 88203-4567 | 2013-05-26 |
| 1538444625 | Milagro De Vida Community Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2249 Santa Ana, Las Cruces, NM 88011-9082 | 2011-10-20 |
| 1255636221 | Onyx Supportive Living LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5301 Crooked Creek Ave Nw, Albuquerque, NM 87114-4193 | 2011-01-21 |
| Find all providers with the same taxonomy | ||||
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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.