NPIMap

Organization Active NPI

State of New Mexico

Doing business as New Mexico State Veterans Home Physicians

  • Skilled Nursing Facility
  • Truth Or Consequences, NM
National Provider Identifier
1578730230
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5087 Issued in NM
Legal business name
STATE OF NEW MEXICO
Doing business as
New Mexico State Veterans Home Physicians
Practice address
992 S Broadway
Truth Or Consequences, NM 87901-3198
Phone
(575) 894-4254
Fax
(575) 894-4294
NPI assigned
May 13, 2008
Last updated
Aug 26, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF NEW MEXICOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Mrs. Marie R Richter
Title
Chief Financial Officer
Phone
(575) 894-4216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5087 NM Primary

Addresses

Primary practice location

992 S Broadway
Truth Or Consequences, NM 87901-3198

Mailing address

992 S Broadway
Truth Or Consequences, NM 87901-3198
Phone (575) 894-4254

Other names 1

  • New Mexico State Veterans Home Physicians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110118000115 NM Part B Supplier - Clinic/Group Practice 1052210689 Receives reassigned benefits from 6 practitioners
3 other NPIs on this enrollment
Practice locations: Roswell, NM; Truth Or Consequence, NM; Santa Clara, NM; Las Vegas, NM

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Las Vegas Medical Cente

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
New Mexico State Veteran's HomeTruth Or Consequences, NM, CCN 325092 Skilled nursing facility Operational/Managerial Control
Trustee of the SNF
Adp of the SNF		 Nov 1, 2024
Nov 1, 2024
Sep 17, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • State of New Mexico

    dba New Mexico State Veterans Home

    • Assisted Living Facility
    • Truth Or Consequences, NM
    • NPI 1942287370

    Adp of the SNF, Operational/Managerial Control, Trustee of the SNF

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 6

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": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1578730230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 S BROADWAY",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879013198",
            "telephone_number": "575-894-4254",
            "fax_number": "575-894-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 S BROADWAY",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879013198",
            "telephone_number": "575-894-4254",
            "fax_number": "575-894-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW MEXICO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF NEW MEXICO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "575-894-4216",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NM",
            "license": "5087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Mexico State Veterans Home Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Truth Or Consequences, NM

Sources for this page

Verify at the official NPI Registry.