NPIMap

Organization Active NPI

Valencia Shelter for Victims of Domestic Violence

  • Community/Behavioral Health Agency
  • Belen, NM
National Provider Identifier
1073750170
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0082711 Issued in NM
Legal business name
VALENCIA SHELTER FOR VICTIMS OF DOMESTIC VIOLENCE
Practice address
513 Becker Ave
Belen, NM 87002-3631
Phone
(505) 864-3202
Fax
(505) 864-8138
NPI assigned
Jan 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Mr. James Hatfield
Title
Executive Director
Phone
(505) 864-3202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0082711 NM Primary

Addresses

Primary practice location

513 Becker Ave
Belen, NM 87002-3631

Mailing address

513 Becker Ave
Belen, NM 87002-3631
Phone (505) 864-3202

National Provider Directory

National Provider Directory
Tax ID family
Valencia Shelter for Victims of Domestic Violence3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1073750170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 BECKER AVE",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870023631",
            "telephone_number": "505-864-3202",
            "fax_number": "505-864-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BECKER AVE",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870023631",
            "telephone_number": "505-864-3202",
            "fax_number": "505-864-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENCIA SHELTER FOR VICTIMS OF DOMESTIC VIOLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "HATFIELD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-864-3202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0082711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belen, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.