NPIMap

Organization Active NPI

La Buena Vida, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rio Rancho, NM
National Provider Identifier
1831354059
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
3034 Issued in NM
Legal business name
LA BUENA VIDA, INC.
Practice address
1005 21St St SE
Suites 8 & 10
Rio Rancho, NM 87124-4030
Phone
(505) 994-4040
Fax
(505) 867-2383
NPI assigned
Jul 28, 2008
Organization subpart
Yes
Parent organization
LA BUENA VIDA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Authorized official

Name
Mr. Steve Malnar
Title
Executive Director
Phone
(505) 867-2383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 3034 NM Primary

Addresses

Primary practice location

1005 21St St SE
Suites 8 & 10
Rio Rancho, NM 87124-4030

Mailing address

PO Box 1147
Bernalillo, NM 87004-1147
Phone (505) 867-2383

Other identifiers 1

IdentifierTypeStateIssuer
E7034MedicaidNM

Other names 1

  • La Buena Vida, Inc. - Rio Rancho Office Other name

National Provider Directory

National Provider Directory
Tax ID family
La Buena Vida Inc2 organizations share this tax ID, including this one
Part of
La Buena Vida Inc

Other organizations with this tax ID 1

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

Locations

1005 21st St SE
#8
Rio Rancho, NM 87124
Phone (505) 994-4040

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1831354059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1147",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870041147",
            "telephone_number": "505-867-2383",
            "fax_number": "505-867-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 21ST ST SE",
            "address_2": "SUITES 8 & 10",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244030",
            "telephone_number": "505-994-4040",
            "fax_number": "505-867-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA BUENA VIDA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA BUENA VIDA, INC.",
        "enumeration_date": "2008-07-28",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "MALNAR",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-867-2383",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NM",
            "license": "3034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E7034",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Buena Vida, Inc. - Rio Rancho Office",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.