Trilogy New Mexico, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

TRILOGY NEW MEXICO, LLC

Practice address

1096 Mechem Dr Ste 201
Ruidoso, NM 88345-7068

Phone

(806) 239-1281

Fax

(575) 208-7235

NPI assigned

Sep 27, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Brenda Stafford Baker, RN

Title

Owner/Guardian

Phone

(806) 239-1281

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1386129112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 SOONER ST",
            "city": "WOLFFORTH",
            "state": "TX",
            "postal_code": "793825300",
            "telephone_number": "806-239-1281",
            "fax_number": "575-208-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 MECHEM DR STE 201",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883457068",
            "telephone_number": "806-239-1281",
            "fax_number": "575-208-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILOGY NEW MEXICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "STAFFORD",
        "authorized_official_title_or_position": "OWNER/GUARDIAN",
        "authorized_official_telephone_number": "806-239-1281",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Ruidoso, NM
• Providers in Ruidoso, NM by specialty
• Case Management Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.