NPIMap

Organization Active NPI

Youth Shelters

  • Community/Behavioral Health Agency
  • Santa Fe, NM
National Provider Identifier
1659606911
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YOUTH SHELTERS
Practice address
5686 Agua Fria St
Santa Fe, NM 87507-9001
Phone
(505) 983-0586
Fax
(505) 424-0949
NPI assigned
Oct 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Authorized official

Name
John Santos
Title
Resident Assistant
Phone
(505) 983-0586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5686 Agua Fria St
Santa Fe, NM 87507-9001

Mailing address

PO Box 28279
Santa Fe, NM 87592-8279
Phone (505) 983-0586

National Provider Directory

National Provider Directory
Tax ID family
Youth Shelters12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

5686 Agua Fria St
Santa Fe, NM 87507
Phone (505) 438-0502

NPI Registry JSON

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1659606911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28279",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875928279",
            "telephone_number": "505-983-0586",
            "fax_number": "505-424-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5686 AGUA FRIA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875079001",
            "telephone_number": "505-983-0586",
            "fax_number": "505-424-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH SHELTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "RESIDENT ASSISTANT",
        "authorized_official_telephone_number": "505-983-0586"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 6, 2009; 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.