New Mexico Behavioral Health Institute

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

5067 Issued in NM

Legal business name

NEW MEXICO BEHAVIORAL HEALTH INSTITUTE

Practice address

3695 Hot Springs Blvd
Las Vegas, NM 87701-9549

Phone

(505) 454-2190

Fax

(505) 454-2222

NPI assigned

Oct 19, 2005

Organization subpart

No

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

Authorized official

Name

Mr. William Chaltry, NHA

Title

Nursing Home Administrator

Phone

(505) 454-2190

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Las Vegas Medical Center Former legal business name

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114916319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 HOT SPRINGS BLVD",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877019549",
            "telephone_number": "505-454-2190",
            "fax_number": "505-454-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 HOT SPRINGS BLVD",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877019549",
            "telephone_number": "505-454-2190",
            "fax_number": "505-454-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO BEHAVIORAL HEALTH INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHALTRY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "505-454-2190",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NM",
            "license": "5067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IO126",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Vegas Medical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Randy Masao Nakasone, PT
• Jenny B Nation, FNP-C
• Verlee Neha, MA.CC.SLP
• Netherlands Anesthesia, LLC
• New Mexico Behavioral Health
• New Mexico Behavioral Health Institute
• New Mexico Behavioral Health Institute
• New Mexico Door 2 Door Transfers, LLC
• New Mexico Highlands University
• New Mexico Non-Emergency Medical Transport Incorporated

• Nursing Facility/Intermediate Care Facility in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Nursing Facility/Intermediate Care Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.