NPIMap

Organization Active NPI

Embrace, Inc.

  • Community/Behavioral Health Agency
  • Roswell, NM
National Provider Identifier
1265761449
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C-09926 Issued in NM
Legal business name
EMBRACE, INC.
Practice address
1717 W 2ND St Ste 116
Roswell, NM 88201-2027
Phone
(575) 840-1075
NPI assigned
Dec 16, 2009
Last updated
Oct 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Mr. Nathan Matthew Padilla, LCSWNPI 1801129184
Title
Executive Director
Phone
(575) 840-1075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C-09926 NM Primary

Addresses

Primary practice location

1717 W 2ND St Ste 116
Roswell, NM 88201-2027

Mailing address

PO Box 4425
Roswell, NM 88202-4425
Phone (575) 840-1075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170802001064 NM Part B Supplier - Clinic/Group Practice 4688945108 Receives reassigned benefits from 2 practitioners
Practice locations: Roswell, NM

National Provider Directory

National Provider Directory

Locations

1717 W 2nd St
Ste 116
Roswell, NM 88201
Phone (575) 840-1075

Practitioners & affiliated clinicians

Practitioners 3

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": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1265761449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4425",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882024425",
            "telephone_number": "575-840-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W 2ND ST STE 116",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882012027",
            "telephone_number": "575-840-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "575-840-1075",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "C-09926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.