Active NPI
Safe Harbor, Inc.
- Specialist
- Las Cruces, NM
National Provider Identifier
1023215183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- SAFE HARBOR, INC.
- Practice address
- 2982 Petunia LN
Las Cruces, NM 88007-5090 - Phone
- (505) 312-9352
- NPI assigned
- Jun 29, 2007
- Last updated
- Jun 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Christine Olivia Chapman
- Title
- Director
- Phone
- (505) 312-9352
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2982 Petunia LN
Las Cruces, NM 88007-5090
Mailing address
2982 Petunia LN
Las Cruces, NM 88007-5090
Phone (505) 312-9352
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79902782 | Medicaid | NM |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212537600000",
"number": "1023215183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2982 PETUNIA LN",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880075090",
"telephone_number": "505-312-9352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2982 PETUNIA LN",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880075090",
"telephone_number": "505-312-9352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE HARBOR, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-29",
"last_updated": "2008-06-04",
"status": "A",
"authorized_official_last_name": "CHAPMAN",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "OLIVIA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "505-312-9352",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "79902782",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.