Organization Active NPI

Angel Care of New Mexico, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Las Cruces, NM
National Provider Identifier
1194868943
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
D4361 Issued in NM
Legal business name
ANGEL CARE OF NEW MEXICO, INC.
Practice address
151 S Walnut St Ste C1
Las Cruces, NM 88001-2617
Phone
(505) 521-2080
NPI assigned
Feb 14, 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
Angela Ledesma
Title
Executive Director
Phone
(505) 521-2080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X D4361 NM Primary

Addresses

Primary practice location

151 S Walnut St Ste C1
Las Cruces, NM 88001-2617

Mailing address

151 S Walnut St Ste C1
Las Cruces, NM 88001-2617
Phone (505) 521-2080

Other identifiers 1

IdentifierTypeStateIssuer
D4361MedicaidNM

National Provider Directory

National Provider Directory

Locations

151 S Walnut St
Ste C1
Las Cruces, NM 88001
Phone (505) 521-2080

2225 E Griggs Ave
Las Cruces, NM 88001

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194868943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 S WALNUT ST STE C1",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880012617",
            "telephone_number": "505-521-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S WALNUT ST STE C1",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880012617",
            "telephone_number": "505-521-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CARE OF NEW MEXICO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEDESMA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-521-2080"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NM",
            "license": "D4361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D4361",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, 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.