NPIMap

Organization Active NPI

Carc, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Carlsbad, NM
National Provider Identifier
1184753162
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
5130 Issued in NM
Legal business name
CARC, INC.
Practice address
902 W Cherry LN
Carlsbad, NM 88220-8804
Phone
(505) 887-1570
Fax
(505) 885-5135
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Annette Lynn Cooper
Title
Financial Director
Phone
(505) 887-1570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 5130 NM Primary

Addresses

Primary practice location

902 W Cherry LN
Carlsbad, NM 88220-8804

Mailing address

PO Box 1808
Carlsbad, NM 88221-1808
Phone (505) 887-1570

Other identifiers 1

IdentifierTypeStateIssuer
000M0428MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
Carc Inc Orchard Home 313 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184753162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1808",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882211808",
            "telephone_number": "505-887-1570",
            "fax_number": "505-885-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W CHERRY LN",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882208804",
            "telephone_number": "505-887-1570",
            "fax_number": "505-885-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "505-887-1570"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NM",
            "license": "5130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000M0428",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • 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.