Organization Active NPI

Partners in Wellness, LLC

  • Community/Behavioral Health Agency
  • Los Lunas, NM
National Provider Identifier
1316173917
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PARTNERS IN WELLNESS, LLC
Practice address
750 Morris Road SW
Los Lunas, NM 87031
Phone
(505) 866-2300
Fax
(505) 866-2309
NPI assigned
Jun 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Mrs. Victoria M. Mora
Title
Billing Specialist
Phone
(505) 866-2303

Specialties & licenses 1

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

Addresses

Primary practice location

750 Morris Road SW
Los Lunas, NM 87031

Mailing address

750 Morris Road SW
Los Lunas, NM 87031
Phone (505) 866-2300

Other identifiers 1

IdentifierTypeStateIssuer
36726575MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1316173917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MORRIS ROAD SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "87031",
            "telephone_number": "505-866-2300",
            "fax_number": "505-866-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MORRIS ROAD SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "87031",
            "telephone_number": "505-866-2300",
            "fax_number": "505-866-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "505-866-2303",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36726575",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Lunas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.