NPIMap

Organization Active NPI

Santa Maria El Mirador

  • Intellectual Disabilities Intermediate Care Facility
  • Santa Fe, NM
National Provider Identifier
1891900296
Registry record updated Jul 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
SANTA MARIA EL MIRADOR
Practice address
10 A Van Nu PO
Santa Fe, NM 87508
Phone
(505) 424-7700
Fax
(505) 395-7452
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2023

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

Authorized official

Name
Patricia Romero
Title
Ceo
Phone
(505) 424-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

10 A Van Nu PO
Santa Fe, NM 87508

Mailing address

10 A Van Nu PO
Santa Fe, NM 87508
Phone (505) 424-7700

Other identifiers 3

IdentifierTypeStateIssuer
M1468MedicaidNM
M2395MedicaidNM
M2296MedicaidNM

Other names 1

  • Fraternal Order of Knights Templar (FOKT) Other name

National Provider Directory

National Provider Directory
Tax ID family
Fraternal Order of Knights Templar Fokt7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

10 A Van Nu PO
Santa Fe, NM 87508
Phone (505) 424-7700

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689984000000",
    "number": "1891900296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 A VAN NU PO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87508",
            "telephone_number": "505-424-7700",
            "fax_number": "505-395-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 A VAN NU PO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87508",
            "telephone_number": "505-424-7700",
            "fax_number": "505-395-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MARIA EL MIRADOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2023-07-22",
        "certification_date": "2023-07-22",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-424-7700"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M1468",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M2395",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M2296",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fraternal Order of Knights Templar (FOKT)",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Fraternal Order of Knights Templar (FOKT)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2023; 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.