NPIMap

Organization Active NPI

Mescalero Apache Tribe

Doing business as Four Directions Treatment and Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Mescalero, NM
National Provider Identifier
1245804301
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MESCALERO APACHE TRIBE
Doing business as
Four Directions Treatment and Recovery Center
Practice address
107 Sunset Loop
Mescalero, NM 88340-8834
Phone
(575) 464-4432
Fax
(575) 464-4331
NPI assigned
May 13, 2021
Last updated
May 13, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
MESCALERO TRIBAL HUMAN SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Veralyn Mendez, MSW
Title
Director
Phone
(575) 464-4432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

107 Sunset Loop
Mescalero, NM 88340-8834

Mailing address

PO Box 228
Mescalero, NM 88340-0228
Phone (575) 464-4432

Other identifiers 1

IdentifierTypeStateIssuer
33555567MedicaidNM

Other names 2

  • Four Directions Treatment and Recovery Center Doing business as
  • Mescalero Tribal Human Services Former legal business name

National Provider Directory

National Provider Directory
Part of
Mescalero Apache Tribe

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1245804301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 228",
            "city": "MESCALERO",
            "state": "NM",
            "postal_code": "883400228",
            "telephone_number": "575-464-4432",
            "fax_number": "575-464-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SUNSET LOOP",
            "city": "MESCALERO",
            "state": "NM",
            "postal_code": "883408834",
            "telephone_number": "575-464-4432",
            "fax_number": "575-464-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESCALERO APACHE TRIBE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MESCALERO TRIBAL HUMAN SERVICES",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "VERALYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "575-464-4432",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33555567",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Directions Treatment and Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mescalero Tribal Human Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mescalero, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.