SF Health Facilities - Casa Real LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1088 Issued in NM

Legal business name

SF HEALTH FACILITIES - CASA REAL LP

Practice address

1650 Galisteo St
Santa Fe, NM 87505-4747

Phone

(505) 984-8313

Fax

(505) 984-2542

NPI assigned

Oct 23, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Jamie L Collier

Title

Director of Reimbursement

Phone

(972) 931-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Casa Real Doing business as

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1487907820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934823",
            "telephone_number": "972-931-3800",
            "fax_number": "972-767-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 GALISTEO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054747",
            "telephone_number": "505-984-8313",
            "fax_number": "505-984-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SF HEALTH FACILITIES - CASA REAL LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "972-931-3800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NM",
            "license": "1088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73354872",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Real",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Skilled Nursing Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.