NPIMap

Organization Active NPI

Laguna Early Childhood Program

Doing business as Laguna Division of Early Childhood

  • Developmentally Disabled Services Day Training Agency
  • Laguna, NM
National Provider Identifier
1376752675
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
02204985001 Issued in NM
Legal business name
LAGUNA EARLY CHILDHOOD PROGRAM
Doing business as
Laguna Division of Early Childhood
Practice address
I-40 West Exit 114 BLDG 1125
Laguna, NM 87026-0798
Phone
(505) 552-6467
Fax
(505) 552-0701
NPI assigned
May 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gilbert Sanchez, MASTERS EDUCATION
Title
Superintendent
Phone
(505) 552-6008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 02204985001 NM Primary

Addresses

Primary practice location

I-40 West Exit 114 BLDG 1125
Laguna, NM 87026-0798

Mailing address

PO Box 798
Laguna, NM 87026-0798
Phone (505) 552-6467

Other identifiers 1

IdentifierTypeStateIssuer
E7009MedicaidNM

Other names 1

  • Laguna Division of Early Childhood Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Laguana Department of Education3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376752675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 798",
            "city": "LAGUNA",
            "state": "NM",
            "postal_code": "870260798",
            "telephone_number": "505-552-6467",
            "fax_number": "505-552-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "I-40 WEST EXIT 114 BLDG 1125",
            "city": "LAGUNA",
            "state": "NM",
            "postal_code": "870260798",
            "telephone_number": "505-552-6467",
            "fax_number": "505-552-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGUNA EARLY CHILDHOOD PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "505-552-6008",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MASTERS EDUCATION"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NM",
            "license": "02204985001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E7009",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laguna Division of Early Childhood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.