Organization Active NPI

Ana Rio Rancho LTD Co

  • Community/Behavioral Health Agency
  • Rio Rancho, NM
National Provider Identifier
1265765135
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3468 Issued in NM
Legal business name
ANA RIO RANCHO LTD CO
Practice address
1603 Golf Course Rd SE # a
Rio Rancho, NM 87124-1762
Phone
(505) 994-4100
Fax
(505) 994-1229
NPI assigned
Sep 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Mrs. Jeanne M Romero, BSW
Title
Sole Member
Phone
(505) 994-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3468 NM Primary

Addresses

Primary practice location

1603 Golf Course Rd SE # a
Rio Rancho, NM 87124-1762

Mailing address

1603 Golf Course Rd SE # a
Rio Rancho, NM 87124-1762
Phone (505) 994-4100

Other identifiers 1

IdentifierTypeStateIssuer
3468OtherNMNM LICENSE

Other names 1

  • A NEW AWAKENING RIO RANCHO Doing business as

National Provider Directory

National Provider Directory

Locations

1603 Golf Course Rd SE
Ste A
Rio Rancho, NM 87124
Phone (505) 994-4100

Practitioners & affiliated clinicians

Practitioners 2

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": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1265765135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 GOLF COURSE RD SE # A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241762",
            "telephone_number": "505-994-4100",
            "fax_number": "505-994-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 GOLF COURSE RD SE # A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241762",
            "telephone_number": "505-994-4100",
            "fax_number": "505-994-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANA RIO RANCHO LTD CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "505-994-4100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "3468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM LICENSE",
            "identifier": "3468",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A NEW AWAKENING RIO RANCHO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.