Active NPI
Life Quest Inc
- Developmentally Disabled Services Day Training Agency
- Silver City, NM
National Provider Identifier
1952425688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- LIFE QUEST INC
- Practice address
- 907 N Pope St
Silver City, NM 88061-5150 - Phone
- (505) 388-1976
- Fax
- (505) 538-2339
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Evangeline Holguin Zamora
- Title
- Ceo
- Phone
- (505) 388-1976
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Developmentally Disabled Services Day Training Agency | 251C00000X | NM |
Addresses
Primary practice location
907 N Pope St
Silver City, NM 88061-5150
Mailing address
907 N Pope St
Silver City, NM 88061-5150
Phone (505) 388-1976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00099657 | Medicaid | NM |
National Provider Directory
National Provider Directory- Tax ID family
- Life Quest Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Silver City, NM
- NPI 1992826051
Locations
907 N Pope St
Silver City, NM 88061
Phone (505) 388-1976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186617600000",
"number": "1952425688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 N POPE ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880615150",
"telephone_number": "505-388-1976",
"fax_number": "505-538-2339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 N POPE ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880615150",
"telephone_number": "505-388-1976",
"fax_number": "505-538-2339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE QUEST INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2007-08-09",
"status": "A",
"authorized_official_last_name": "ZAMORA",
"authorized_official_first_name": "EVANGELINE",
"authorized_official_middle_name": "HOLGUIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "15053881976",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NM",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00099657",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.