Arca - Corrales
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Corrales, NM
NPI 1992830012 · NPPES record last updated Jun 4, 2021
Key facts
- NPI
- 1992830012
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- 5027 (NM)
- Legal business name
- ARCA - CORRALES
- Practice address
- 181 East la Entrada
Corrales, NM 87048 - Phone
- (505) 332-6814
- Fax
- (505) 332-6800
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Vince Smith
- Title
- Director
- Phone
- (505) 332-6814
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Arca
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 5027 | NM | Yes |
Addresses
Primary practice location
181 East la Entrada
Corrales, NM 87048
Mailing address
11300 Lomas Blvd NE
Albuquerque, NM 87112-5512
Phone (505) 332-6814
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M4107 | Medicaid | NM |
Other providers in Corrales, NM
- Angel Paths Therapy
- Angelique S. Cook-Lowry, D.O.M., PA
- Ann L. Morrow, Ma LPCC PC
- Ann Petersen Counseling
- Cynthia A Applegate
- Aspen Counseling LLC
- Ayudar Services LLC
- George Herbert Ballantine
- Michael Philip Baron
- Serena Bartolotta
All providers in Corrales, NM · Intellectual Disabilities Intermediate Care Facility in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.