Tobosa Developmental Services

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

TOBOSA DEVELOPMENTAL SERVICES

Practice address

110 E Summit St
Roswell, NM 88203-5619

Phone

(505) 624-1025

Fax

(505) 623-6444

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Joe Madrid, MASTERS

Title

Executive Director

Phone

(505) 624-1025

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Tobosa Development and Training Center Former legal business name

Tax ID family

Tobosa Development and Training Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Tobosa Developmental Services- Home Visiting

  • Home Health Agency
  • Roswell, NM
  • NPI 1144163080
  NPD tax ID
• Tobosa Developmental Services, Inc.

  • Early Intervention Provider Agency
  • Roswell, NM
  • NPI 1992253355
  NPD tax ID

Locations

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649328147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E SUMMIT ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882035619",
            "telephone_number": "505-624-1025",
            "fax_number": "505-623-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E SUMMIT ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882035619",
            "telephone_number": "505-624-1025",
            "fax_number": "505-623-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOBOSA DEVELOPMENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADRID",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-624-1025",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MASTERS"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D1129",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E7266",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tobosa Development and Training Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Paul Andrew Thompson, RPH
• Jamie B Thornton, BS
• Three Strands Therapy, LLC
• Three Suns Birth
• Vera Tice
• Tobosa Developmental Services- Home Visiting
• Tobosa Developmental Services, Inc.
• Terry W. Todd, DC
• Tom Wulf MD LLC
• William Arthur Toogood, M.S., LPCC

• Developmentally Disabled Services Day Training Agency in Roswell, NM
• Providers in Roswell, NM by specialty
• Developmentally Disabled Services Day Training Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.