Casa Maria of New Mexico LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CASA MARIA OF NEW MEXICO LLC

Doing business as

Casa Maria Health Care Center and Pecos Valley Rehabilitation Suites

Practice address

1601 S Main St
Roswell, NM 88203-5436

Phone

(505) 623-6008

Fax

(505) 622-6651

NPI assigned

Oct 7, 2006

Last updated

May 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Barber

Title

President

Phone

(505) 623-6008

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Casa Maria Health Care Center and Pecos Valley Rehabilitation Suites Doing business as

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1881781060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S MAIN ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882035436",
            "telephone_number": "505-623-6008",
            "fax_number": "505-622-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA MARIA OF NEW MEXICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-623-6008"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46450840",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Maria Health Care Center and Pecos Valley Rehabilitation Suites",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barry C Carter, O.D.
• Corey A Carter, S.A.
• Michele Leigh Carter, DDS
• Robert Trent Carter, APRN, FNP, CARN-AP
• Casa Maria Healthcare LLC
• Case Anesthesia, PC (DBA Gerard Desjardins, CRNA)
• Kyra Rhea Anne Cash
• Katherine Castillo, LSAA
• Castle Orthopedics, P.C.
• James John Castle, DO

• Skilled Nursing Facility in Roswell, NM
• Providers in Roswell, NM by specialty
• Skilled Nursing Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.