NPIMap

Organization Active NPI

Childhaven, Inc

  • Foster Care Agency
  • Farmington, NM
National Provider Identifier
1144303074
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
4151 Issued in NM
Legal business name
CHILDHAVEN, INC
Practice address
807 W. Apache St.
Farmington, NM 87401
Phone
(505) 325-5358
Fax
(505) 327-1482
NPI assigned
Oct 23, 2006
Last updated
Jul 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Diane Dean, CPA
Title
Cfo
Phone
(505) 325-5358

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X CASE MANAGEMENT NM
Case Management Agency 251B00000X NM
Community/Behavioral Health Agency 251S00000X 4151 NM
Community/Behavioral Health Agency 251S00000X TREATMENT FOSTER CAR NM
Community/Behavioral Health Agency 251S00000X NM
Foster Care Agency 253J00000X TREATMENTFOSTER CARE NM
Foster Care Agency 253J00000X 4151 NM Primary

Addresses

Primary practice location

807 W. Apache St.
Farmington, NM 87401

Mailing address

807 W. Apache St.
Farmington, NM 87401
Phone (505) 325-5358

National Provider Directory

National Provider Directory

Locations

807 W Apache St
Farmington, NM 87401
Phone (505) 325-5358

Practitioners & affiliated clinicians

Practitioners 110

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.

View all 110

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1144303074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 W. APACHE ST.",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-325-5358",
            "fax_number": "505-327-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 W. APACHE ST.",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-325-5358",
            "fax_number": "505-327-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDHAVEN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "505-325-5358",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NM",
            "license": "CASE MANAGEMENT",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "4151",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "TREATMENT FOSTER CAR",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NM",
            "license": "TREATMENTFOSTER CARE",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NM",
            "license": "4151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.