NPIMap

Organization Active NPI

Santa Fe Recovery Center Inc

  • Substance Abuse Rehabilitation Facility
  • Santa Fe, NM
National Provider Identifier
1366074247
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SANTA FE RECOVERY CENTER INC
Practice address
1600 Saint Michaels Dr
Santa Fe, NM 87505-7615
Phone
(505) 471-4985
NPI assigned
Feb 7, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Elisa Schleusener
Title
Credentialing Manager
Phone
(505) 847-5422

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260422003040 NM Part B Supplier - Clinic/Group Practice 4385055417 Receives reassigned benefits from 2 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Santa Fe, NM; Gallup, NM

National Provider Directory

National Provider Directory
Tax ID family
Santa Fe Recovery Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5312 Jaguar Dr
Santa Fe, NM 87507
Phone (505) 820-0262

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1600 Saint Michaels Dr
Santa Fe, NM 87505-7615

Mailing address

2504 Camino Entrada
Santa Fe, NM 87507-4851

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
63133750MedicaidNM

Other names 1

NPPES NPI Registry
  • Santa Fe Mens Residential Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 7, 2025.

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1366074247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 CAMINO ENTRADA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SAINT MICHAELS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057615",
            "telephone_number": "505-471-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE RECOVERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "SCHLEUSENER",
        "authorized_official_first_name": "ELISA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "505-847-5422"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63133750",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Fe Mens Residential",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.