NPIMap

Organization Active NPI

Valencia Shelter for Victims of Domestic Violence

  • Community/Behavioral Health Agency
  • Belen, NM
National Provider Identifier
1861775751
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0082411 Issued in NM
Legal business name
VALENCIA SHELTER FOR VICTIMS OF DOMESTIC VIOLENCE
Practice address
513 Becker Ave
Belen, NM 87002-3631
Phone
(505) 864-3202
NPI assigned
Sep 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Tara Salusso
Title
Executive Director
Phone
(541) 554-6874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0082411 NM Primary

Addresses

Primary practice location

513 Becker Ave
Belen, NM 87002-3631

Mailing address

513 Becker Ave
PO Box 1095
Belen, NM 87002-3631
Phone (505) 864-3202

Other names 1

  • Valencia Shelter Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Valencia Shelter for Victims of Domestic Violence3 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.

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1861775751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 BECKER AVE",
            "address_2": "PO BOX 1095",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870023631",
            "telephone_number": "505-864-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BECKER AVE",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870023631",
            "telephone_number": "505-864-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENCIA SHELTER FOR VICTIMS OF DOMESTIC VIOLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "SALUSSO",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-554-6874"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0082411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valencia Shelter Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belen, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.