Leaders Industries

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

02143726002 Issued in NM

Legal business name

LEADERS INDUSTRIES

Practice address

115 W Dunnam St
Hobbs, NM 88240-6020

Phone

(505) 393-8201

Fax

(505) 393-1318

NPI assigned

Oct 12, 2006

Organization subpart

No

Name

Mr. Rusty Baxter

Title

Executive Director

Phone

(505) 393-8201

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 26, 2008.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1750470415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W DUNNAM ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882406020",
            "telephone_number": "505-393-8201",
            "fax_number": "505-393-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W DUNNAM ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882406020",
            "telephone_number": "505-393-8201",
            "fax_number": "505-393-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADERS INDUSTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "RUSTY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-393-8201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NM",
            "license": "02143726002",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "02143726002",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D0612",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E7425",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Feb 26, 2008; 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.