Organization Active NPI

Zimmerman Consulting, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Los Lunas, NM
National Provider Identifier
1144309741
Registry record updated Aug 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
1098 & 1112 Issued in NM
Legal business name
ZIMMERMAN CONSULTING, INC.
Practice address
79 Romero Rd
Los Lunas, NM 87031-7624
Phone
(505) 866-9271
Fax
(505) 866-9278
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2017

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

Authorized official

Name
Kevin Alexy
Title
Fiscal Operations Manager
Phone
(505) 866-9271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 1098 & 1112 NM Primary

Addresses

Primary practice location

79 Romero Rd
Los Lunas, NM 87031-7624

Mailing address

15 Jemez Dr.
Los Lunas, NM 87031
Phone (505) 866-9271

Other identifiers 2

IdentifierTypeStateIssuer
98902563MedicaidNM
NM600617OtherNMVALUE OPTIONS PROVIDER #

Other names 1

  • Sandhill Child Development Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Zimmerman Consulting Inc2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503014400000",
    "number": "1144309741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 JEMEZ DR.",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "87031",
            "telephone_number": "505-866-9271",
            "fax_number": "505-866-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 ROMERO RD",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870317624",
            "telephone_number": "505-866-9271",
            "fax_number": "505-866-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIMMERMAN CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2017-08-18",
        "status": "A",
        "authorized_official_last_name": "ALEXY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "FISCAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "505-866-9271"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NM",
            "license": "1098 & 1112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98902563",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER #",
            "identifier": "NM600617",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandhill Child Development Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Lunas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; 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.