NPIMap

Organization Active NPI

Casa Milagro

  • Case Management Agency
  • Santa Fe, NM
National Provider Identifier
1528458114
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
5817 Issued in NM
Legal business name
CASA MILAGRO
Practice address
49 Camino Bajo
Santa Fe, NM 87508-8614
Phone
(505) 474-7684
Fax
(505) 438-4877
NPI assigned
Feb 3, 2015
Last updated
Jun 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Desiree Bernard
Title
Executive Director
Phone
(505) 474-7684

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 5817 NM Primary
Community/Behavioral Health Agency 251S00000X
Assisted Living Facility (Mental Illness) 3104A0625X 5817 NM

Addresses

Primary practice location

49 Camino Bajo
Santa Fe, NM 87508-8614

Mailing address

49 Camino Bajo
Santa Fe, NM 87508-8614
Phone (505) 474-7684

National Provider Directory

National Provider Directory

Locations

49 Camino Bajo
Santa Fe, NM 87508
Phone (505) 474-7684

Practitioners & affiliated clinicians

Practitioners 5

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": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1528458114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CAMINO BAJO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875088614",
            "telephone_number": "505-474-7684",
            "fax_number": "505-438-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CAMINO BAJO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875088614",
            "telephone_number": "505-474-7684",
            "fax_number": "505-438-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA MILAGRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-474-7684"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NM",
            "license": "5817",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NM",
            "license": "5817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 29, 2021; 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.