Tohatchi Area of Opportunity & Services

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

TOHATCHI AREA OF OPPORTUNITY & SERVICES

Practice address

1658 S Second St
Gallup, NM 87301-5817

Phone

(505) 722-9287

Fax

(505) 722-9189

NPI assigned

Dec 31, 2018

Organization subpart

No

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

Authorized official

Name

Kimber Crowe

Title

Chief Executive Officer

Phone

(505) 722-9287

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546214400000",
    "number": "1306318423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49",
            "city": "TOHATCHI",
            "state": "NM",
            "postal_code": "873250049",
            "telephone_number": "505-722-9287",
            "fax_number": "505-722-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 S SECOND ST",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015817",
            "telephone_number": "505-722-9287",
            "fax_number": "505-722-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOHATCHI AREA OF OPPORTUNITY & SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-31",
        "last_updated": "2018-12-31",
        "status": "A",
        "authorized_official_last_name": "CROWE",
        "authorized_official_first_name": "KIMBER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "505-722-9287"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D1703",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Titla
• Catherine M Tobias, RN
• Makayla Elizabeth Mae Todd, OTR/L
• Sharlene Lynn Todicheeney, RN
• Clarisa Todokozie
• Cheryl L Toledo
• Chrisjune Tolentino
• Jenie Valero Tolentino, RN
• Jamie Shannon Tom, RN
• Kimberly K Tom, RN

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Gallup, NM
• Providers in Gallup, NM by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.