The Jericho House

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

THE JERICHO HOUSE

Practice address

2845 Dona Ana Rd
Las Cruces, NM 88007-5239

Phone

(575) 915-0450

Fax

(575) 915-0450

NPI assigned

May 12, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Reginald Anthony Gibbs, ORDINATION

Title

Pastor/Director

Phone

(575) 915-0450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1619269446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 DONA ANA RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880075239",
            "telephone_number": "575-915-0450",
            "fax_number": "575-915-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 DONA ANA RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880075239",
            "telephone_number": "575-915-0450",
            "fax_number": "575-915-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JERICHO HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PASTOR/DIRECTOR",
        "authorized_official_telephone_number": "575-915-0450",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ORDINATION"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Community Foundation of Southern New Mexico
• The Community Foundation of Southern New Mexico
• The Evangelical Lutheran Good Samaritan Society
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Las Cruces Village)
• The Heritage Assisted Living & Adult Day Care, LLC
• The Medical Clinic LLC
• The Professional Assessment Center
• The Surgery Center of Las Cruces, LLC
• The Transformation Center, Inc. (Kiva Centers)
• The Zen Monkey Mental Health Company LLC (Zen Monkey Mental Health)

• Substance Abuse Rehabilitation Facility in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Substance Abuse Rehabilitation Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.