Organization Active NPI

Carino Family Services Inc

  • Community/Behavioral Health Agency
  • Las Vegas, NM
National Provider Identifier
1093149056
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4780310 Issued in NM
Legal business name
CARINO FAMILY SERVICES INC
Practice address
2528 Ridge Runner Rd
Las Vegas, NM 87701-4971
Phone
(575) 520-9899
Fax
(505) 425-9223
NPI assigned
Aug 27, 2013
Last updated
Apr 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Breena Tafoya, LISW
Title
President & Ceo
Phone
(575) 520-9899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4780310 NM Primary

Addresses

Primary practice location

2528 Ridge Runner Rd
Las Vegas, NM 87701-4971

Mailing address

PO Box 84
Mora, NM 87732-0084
Phone (575) 520-9899

Other identifiers 1

IdentifierTypeStateIssuer
51203782MedicaidNM

Other names 1

  • Play Therapy Services Inc Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1093149056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "city": "MORA",
            "state": "NM",
            "postal_code": "877320084",
            "telephone_number": "575-520-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 RIDGE RUNNER RD",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014971",
            "telephone_number": "575-520-9899",
            "fax_number": "505-425-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARINO FAMILY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "TAFOYA",
        "authorized_official_first_name": "BREENA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "575-520-9899",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "4780310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51203782",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Play Therapy Services Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Las Vegas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.