ASSURANCE HOME INC. (NPI# 1518010222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518010222 |
| Entity Type | Organization |
| Organization Name | ASSURANCE HOME INC. |
| Practice Address |
1000 E 18th St Roswell NM 88201-7532 |
| Practice Telephone | 5056241780 |
| Practice Fax Number | 5056242033 |
| Mailing Telephone | 5056241780 |
| Mailing Fax Number | 5056242033 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GEORGE R LEWIS (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 5056241780 |
| Authorized Official Credential | LISW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 4079 | NM | Residential Treatment Facilities |
| Street Address |
1000 E 18TH ST |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-7532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346629185 | Alycia E Wright | Social Worker | 1000 E 18th St, Roswell, NM 88201-7532 | 2015-05-26 |
| 1518193648 | George Raymond Lewis | Social Worker | 1000 E 18th St, Roswell, NM 88201-7532 | 2009-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| 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 |
| 1124156815 | Villa Santa Maria | Residential Treatment Facility, Emotionally Disturbed Children | 19 Cirquela Rd, Cedar Crest, NM 87008 | 2007-03-02 |
| 1407990500 | Nm Department of Health | Residential Treatment Facility, Emotionally Disturbed Children | 3405 Pan American Fwy Ne, Albuquerque, NM 87107-4786 | 2007-02-20 |
| 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 | ||||
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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.