Organization Active NPI

Esperanza Developmental Services, LLC

  • Developmentally Disabled Services Day Training Agency
  • Roswell, NM
National Provider Identifier
1942423926
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ESPERANZA DEVELOPMENTAL SERVICES, LLC
Practice address
118 E 4TH St
Roswell, NM 88201-6204
Phone
(505) 627-7800
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Hank Townsend
Title
Financial Director
Phone
(505) 627-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

118 E 4TH St
Roswell, NM 88201-6204

Mailing address

PO Box 1536
Roswell, NM 88202-1536
Phone (505) 627-7800

Other identifiers 1

IdentifierTypeStateIssuer
28173309MedicaidNM

National Provider Directory

National Provider Directory

Locations

118 E 4th St
Roswell, NM 88201
Phone (505) 627-7800

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942423926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1536",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882021536",
            "telephone_number": "505-627-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E 4TH ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882016204",
            "telephone_number": "505-627-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPERANZA DEVELOPMENTAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "HANK",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "505-627-7800"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28173309",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.