Halvorson House, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1079A Issued in NM

Legal business name

HALVORSON HOUSE, INC.

Practice address

108 N Behrend Ave
Farmington, NM 87401-8448

Phone

(505) 326-2736

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Tami Lewis

Title

Executive Director

Phone

(505) 326-2736

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1891892014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15067",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N BEHREND AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018448",
            "telephone_number": "505-326-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALVORSON HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-326-2736"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "1079A",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NM",
            "license": "1079A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M1925",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M0115",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlene Hahtatley, B.A., TLADAC
• Hairoun Home Health
• Joseph David Hakes, M.D.
• Lisa Marie Hall, RDH
• Nathaniel Lee Hall
• Spencer William Halvorson
• Alexandria Hamblin, HAD
• Marina V Hampton, DDS
• Jonathan Brent Hancock, D.O.
• Eric Hand

• Community/Behavioral Health Agency in Farmington, NM
• Providers in Farmington, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.