Laurel Healthcare of Clovis LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1013 Issued in NM

Legal business name

LAUREL HEALTHCARE OF CLOVIS LLC

Doing business as

Laurel Ridge Healthcare

Practice address

1201 North Norris Street
Clovis, NM 88101-6371

Phone

(505) 762-3753

Fax

(505) 762-7566

NPI assigned

Oct 2, 2006

Last updated

Aug 5, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Alan Zampini

Title

Member

Phone

(505) 304-5152

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Laurel Ridge Healthcare Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1003909987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NORTH NORRIS STREET",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881016371",
            "telephone_number": "505-762-3753",
            "fax_number": "505-762-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NORTH NORRIS STREET",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881016371",
            "telephone_number": "505-762-3753",
            "fax_number": "505-762-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL HEALTHCARE OF CLOVIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "ZAMPINI",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "505-304-5152",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NM",
            "license": "1013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "32D0700093",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97886262",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Ridge Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Micah Lansford, PHARM. D.
• Alayna D Laprade, CCC-SLP
• Biatriz Larez
• Kendall Larock, LM, CPM
• Ashleigh Nikkole Larson, RN
• Laurel Healthcare of Clovis LLC (Laurel Plains Healthcare)
• Rashan Lawrence
• Dustin D Lawson, BMS
• Joshua Lawson
• Richard J Layman, DO

• Skilled Nursing Facility in Clovis, NM
• Providers in Clovis, NM by specialty
• Skilled Nursing Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.