Carol Esquibel

Individual provider Active NPI Nursing Home Administrator · Mescalero, NM

NPI 1528601176 · NPPES record last updated Oct 25, 2019

Key facts

NPI
1528601176
Entity type
Individual (NPI type 1)
Primary specialty
Nursing Home Administrator 376G00000X
Practice address
454 Lipan Ave
Mescalero, NM 88340
Phone
(575) 464-4802
NPI assigned
Oct 25, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Mescalero Care Center Past
since Oct 27, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X Yes

Addresses

Primary practice location

454 Lipan Ave
Mescalero, NM 88340

Mailing address

PO Box 359
Mescalero, NM 88340-0359

Other providers in Mescalero, NM

All providers in Mescalero, NM · Nursing Home Administrator in New Mexico

Sources for this page

Verify at the official NPI Registry.