NPIMap

Organization Active NPI

Amistad Milestones, LLC

  • Early Intervention Provider Agency
  • Las Cruces, NM
National Provider Identifier
1073853271
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
I-06859 Issued in NM
Legal business name
AMISTAD MILESTONES, LLC
Practice address
3050 N Roadrunner Pkwy
Suite a
Las Cruces, NM 88011-0833
Phone
(575) 523-2288
Fax
(575) 523-2299
NPI assigned
Feb 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Rick Morales
Title
Executive Director
Phone
(703) 906-1613

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X I-06859 NM
Early Intervention Provider Agency 252Y00000X I-06859 NM Primary

Addresses

Primary practice location

3050 N Roadrunner Pkwy
Suite a
Las Cruces, NM 88011-0833

Mailing address

PO Box 1090
Las Cruces, NM 88004-1090
Phone (575) 523-2288

National Provider Directory

National Provider Directory
Tax ID family
Amistad Milestones LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1073853271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880041090",
            "telephone_number": "575-523-2288",
            "fax_number": "575-523-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 N ROADRUNNER PKWY",
            "address_2": "SUITE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880110833",
            "telephone_number": "575-523-2288",
            "fax_number": "575-523-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMISTAD MILESTONES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "703-906-1613"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-06859",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NM",
            "license": "I-06859",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 25, 2013; 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.