Arca - Copper Home
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Albuquerque, NM
NPI 1295870020 · NPPES record last updated Jun 4, 2021
Key facts
- NPI
- 1295870020
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- 5025 (NM)
- Legal business name
- ARCA - COPPER HOME
- Practice address
- 9101 Copper Ave NE
Albuquerque, NM 87123-1007 - Phone
- (505) 332-6814
- Fax
- (505) 332-6800
- NPI assigned
- Feb 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Vince Smith
- Title
- Director
- Phone
- (505) 332-6814
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Arca
Locations
9101 Copper Ave NE
Albuquerque, NM 87123
Phone (505) 332-6814
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 5025 | NM | Yes |
Addresses
Primary practice location
9101 Copper Ave NE
Albuquerque, NM 87123-1007
Mailing address
11300 Lomas Blvd NE
Albuquerque, NM 87112-5512
Phone (505) 332-6814
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M0303 | Medicaid | NM |
Other providers in Albuquerque, NM
- Arca
- Arca
- Arca
- Arca
- Arca
- Arca - Gibson Home
- Arca - Louisiana
- Arca - Park
- Arca - South Valley
- Arca - Trumbull
All providers in Albuquerque, NM · Intellectual Disabilities Intermediate Care Facility in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.