Organization Active NPI

Triad Behavioral Health Care LLC

  • Community/Behavioral Health Agency
  • Las Cruces, NM
National Provider Identifier
1346310653
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
84-180 Issued in NM
Legal business name
TRIAD BEHAVIORAL HEALTH CARE LLC
Practice address
1401 S Don Roser Dr
Suite F-1-2
Las Cruces, NM 88011-4567
Phone
(575) 521-4848
Fax
(575) 522-1798
NPI assigned
Nov 8, 2006
Organization subpart
Yes
Parent organization
TRIAD BEHAVIORAL HEALTH CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Authorized official

Name
William E Lafreniere
Title
Billing Manager
Phone
(575) 532-1888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 84-180 NM Primary

Addresses

Primary practice location

1401 S Don Roser Dr
Suite F-1-2
Las Cruces, NM 88011-4567

Mailing address

1401 S Don Roser Dr
Suite F-1-2
Las Cruces, NM 88011-4567
Phone (575) 521-4848

Other names 1

  • Milagro Community Care Doing business as

National Provider Directory

National Provider Directory
Part of
Triad Behavioral Health Care LLC

Locations

2801 Missouri Ave
Ste 15
Las Cruces, NM 88011
Phone (505) 521-4848

1401 S Don Roser Dr
Ste F12
Las Cruces, NM 88011
Phone (575) 521-4848

1401 S Don Roser Dr
#F12
Las Cruces, NM 88011
Phone (505) 521-4848

Practitioners & affiliated clinicians

Practitioners 3

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1346310653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S DON ROSER DR",
            "address_2": "SUITE F-1-2",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114567",
            "telephone_number": "575-521-4848",
            "fax_number": "575-522-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S DON ROSER DR",
            "address_2": "SUITE F-1-2",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114567",
            "telephone_number": "575-521-4848",
            "fax_number": "575-522-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD BEHAVIORAL HEALTH CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIAD BEHAVIORAL HEALTH CARE LLC",
        "enumeration_date": "2006-11-08",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "LAFRENIERE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "575-532-1888"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "84-180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milagro Community Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.