Organization Active NPI

Espanola Pathways Shelter

  • Case Manager/Care Coordinator
  • Espanola, NM
National Provider Identifier
1295677235
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
ESPANOLA PATHWAYS SHELTER
Practice address
628 N Riverside Dr Ste a
Espanola, NM 87532-2620
Phone
(505) 753-4453
NPI assigned
Apr 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Dena Moscola
Title
Ceo
Phone
(973) 886-1974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

628 N Riverside Dr Ste a
Espanola, NM 87532-2620

Mailing address

628 N Riverside Dr Ste a
Espanola, NM 87532-2620

National Provider Directory

National Provider Directory

Locations

628 N Riverside Dr
Ste A
Espanola, NM 87532
Phone (505) 753-4453

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": "1775606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1295677235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 N RIVERSIDE DR STE A",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 N RIVERSIDE DR STE A",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322620",
            "telephone_number": "505-753-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPANOLA PATHWAYS SHELTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "MOSCOLA",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-886-1974"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Espanola, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.