Casa Arena Blanca LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CASA ARENA BLANCA LLC

Doing business as

Casa Arena Blanca Nursing Center

Practice address

205 Moonglow Ave
Alamogordo, NM 88310-3339

Phone

(505) 434-4510

Fax

(505) 434-4513

NPI assigned

Oct 7, 2006

Organization subpart

No

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

Authorized official

Name

Tami Klinedinst

Title

President

Phone

(505) 434-4510

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Casa Arena Blanca Nursing Center 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": "1972690154",
    "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": "205 MOONGLOW AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883103339",
            "telephone_number": "505-434-4510",
            "fax_number": "505-434-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA ARENA BLANCA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "KLINEDINST",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-434-4510"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49537539",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Arena Blanca Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bruno Carrasco, REGISTERED BEHAVIOR
• Jennifer L Carrasco, CLC , CD
• Miranda Carrasco
• Victor Carrasco, PT
• Lauriann M Carrillo
• Casa Arena Healthcare LLC
• John Carroll Cason, D.D.S.
• Cheyenne Tawny Cass
• Luz Castelo
• Amador Castillo, FNP-C

• Skilled Nursing Facility in Alamogordo, NM
• Providers in Alamogordo, 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.