SANTA MARIA EL MIRADOR (NPI# 1851428577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851428577 |
| Entity Type | Organization |
| Organization Name | SANTA MARIA EL MIRADOR |
| Other Organization Name | FRATERNAL ORDER OF KNIGHTS TEMPLAR (FOKT) |
| Practice Address |
2041 S Pacheco St Suite 100 Santa Fe NM 87505-5473 |
| Practice Telephone | 5054247700 |
| Practice Fax Number | 5054247707 |
| Mailing Telephone | 5054247700 |
| Mailing Fax Number | 5054247707 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ELOY F DURAN (DEPUTY DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 5054282004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | M1609 | 05 | |
| NM | 75302373 | 05 |
| Other Name | Type Code |
|---|---|
| Fraternal Order of Knights Templar (FOKT) | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619150463 | Santa Maria El Mirador | Day Training, Developmentally Disabled Services | 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 | 2007-12-14 |
| 1144419417 | Santa Maria El Mirador | Day Training, Developmentally Disabled Services | 2041 S Pacheco St, Suite 200, Santa Fe, NM 87505-5473 | 2007-10-23 |
| 1891900296 | Santa Maria El Mirador | Intermediate Care Facility, Mentally Retarded | 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 | 2007-05-11 |
| 1700091105 | Santa Maria El Mirador | Intermediate Care Facility, Mentally Retarded | 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 | 2007-05-11 |
| 1518172915 | Santa Maria El Mirador | Intermediate Care Facility, Mentally Retarded | 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 | 2007-05-11 |
| 1821203217 | Santa Maria El Mirador | Day Training, Developmentally Disabled Services | 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 | 2007-05-11 |
| 1730394123 | Santa Maria El Mirador | Intermediate Care Facility, Mentally Retarded | 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 | 2007-05-11 |
| 1245356617 | Santa Maria El Mirador | Intermediate Care Facility, Mentally Retarded | 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 | 2007-03-21 |
| Street Address |
2041 S PACHECO ST SUITE 100 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-5473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619150463 | Santa Maria El Mirador | Day Training, Developmentally Disabled Services | 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 | 2007-12-14 |
| 1144419417 | Santa Maria El Mirador | Day Training, Developmentally Disabled Services | 2041 S Pacheco St, Suite 200, Santa Fe, NM 87505-5473 | 2007-10-23 |
| 1891900296 | Santa Maria El Mirador | Intermediate Care Facility, Mentally Retarded | 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 | 2007-05-11 |
| 1700091105 | Santa Maria El Mirador | Intermediate Care Facility, Mentally Retarded | 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 | 2007-05-11 |
| 1518172915 | Santa Maria El Mirador | Intermediate Care Facility, Mentally Retarded | 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 | 2007-05-11 |
| 1821203217 | Santa Maria El Mirador | Day Training, Developmentally Disabled Services | 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 | 2007-05-11 |
| 1730394123 | Santa Maria El Mirador | Intermediate Care Facility, Mentally Retarded | 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 | 2007-05-11 |
| 1245356617 | Santa Maria El Mirador | Intermediate Care Facility, Mentally Retarded | 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 | 2007-03-21 |
| 1750412466 | Foundation of The Knights Templar | Intermediate Care Facility, Mentally Retarded | 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891900296 | Santa Maria El Mirador | Intermediate Care Facility, Mentally Retarded | 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 | 2007-05-11 |
| 1700091105 | Santa Maria El Mirador | Intermediate Care Facility, Mentally Retarded | 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 | 2007-05-11 |
| 1518172915 | Santa Maria El Mirador | Intermediate Care Facility, Mentally Retarded | 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 | 2007-05-11 |
| 1730394123 | Santa Maria El Mirador | Intermediate Care Facility, Mentally Retarded | 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 | 2007-05-11 |
| 1245356617 | Santa Maria El Mirador | Intermediate Care Facility, Mentally Retarded | 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 | 2007-03-21 |
| 1750412466 | Foundation of The Knights Templar | Intermediate Care Facility, Mentally Retarded | 2041 S Pacheco St, Suite 100, Santa Fe, NM 87505-5473 | 2007-03-07 |
| 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 |
| 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 |
| 1992830012 | Arca - Corrales | Intermediate Care Facility, Mentally Retarded | 181 East La Entrada, Corrales, NM 87048 | 2007-02-22 |
| 1295870020 | Arca - Copper Home | Intermediate Care Facility, Mentally Retarded | 9101 Copper Ave Ne, Albuquerque, NM 87123-1007 | 2007-02-20 |
| 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 |
| 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.