STATE OF THE HEART RECOVERY INC. (NPI# 1700407277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700407277 |
Entity Type | Organization |
Organization Name | STATE OF THE HEART RECOVERY INC. |
Practice Address |
203 California St Ne Albuquerque NM 87108-1802 |
Practice Telephone | 5053088296 |
Mailing Telephone | 5053088296 |
Enumeration Date | 2020-05-06 |
Last Update Date | 2020-05-06 |
Authorized Official Name | PAUL THOMAS CHAVEZ (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 5056881228 |
Authorized Official Credential | LPCC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
Street Address |
203 CALIFORNIA ST NE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87108-1802 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871137042 | State of The Heart Recovery | Clinic/Center | 203 California St Ne, Albuquerque, NM 87108-1802 | 2019-10-31 |
1679173678 | Angel Fernando Calleros | Social Worker | 203 California St Ne, Albuquerque, NM 87108-1802 | 2020-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
Find all providers in zip 87108 |
Taxonomy Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710512199 | Metro Treatment of New Mexico Lp | Clinic/Center | 9421 Coors Blvd Nw Ste J&k, Albuquerque, NM 87114-5025 | 2020-03-06 |
1447464664 | Unm Hospital | Clinic/Center | 2600 Marble Ave., N.e., Albuquerque, NM 87106-2058 | 2007-05-09 |
1598015356 | Recovery Services of New Mexico Mdc | Clinic/Center | 100 Deputy Dean Miera Dr Sw, Albuquerque, NM 87151-1000 | 2012-09-19 |
1639479520 | University of New Mexico Hospitals Asap | Clinic/Center | 2450 Alamo Ave Se, Albuquerque, NM 87106-3204 | 2010-10-26 |
1962634329 | Recovery Services of New Mexico | Clinic/Center | 1528 Five Points Rd Sw, Albuquerque, NM 87105-3014 | 2009-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689021735 | Taos Addiction Treatment Services | Clinic/Center | 1339 Paseo Del Pueblo Sur, Taos, NM 87571-5972 | 2016-05-18 |
1194104141 | Recovery Services of New Mexico | Clinic/Center | 1107 S Atkinson Ave, Roswell, NM 88203-7154 | 2015-05-22 |
1912259821 | Recovery Services of New Mexico | Clinic/Center | 2443 Highway 47, Belen, NM 87002 | 2012-10-03 |
1609089408 | Una Ala Clinic, Inc | Clinic/Center | 104 Los Alamos Hwy, Espanola, NM 87532-2747 | 2007-05-08 |
1619273299 | Erneda Espinosa Romero | Clinic/Center | 2001 Chamisa St, Santa Fe, NM 87505-3441 | 2011-01-31 |
City | ALBUQUERQUE |
Zip Code | 87108 |
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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.