ARCA - COPPER HOME NPI 1295870020

NPI Information

NPI: 1295870020
Provider Name: ARCA - COPPER HOME
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
9101 COPPER AVE NE
ALBUQUERQUE, NM
ZIP 87123
Phone: (505) 332-6814
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ARCA - COPPER HOME is an intermediate care facility mentally retarded in Albuquerque, NM. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. ARCA - COPPER HOME NPI is 1295870020. The provider is registered as an organization entity type.

The provider's business location address is:

9101 COPPER AVE NE
ALBUQUERQUE, NM
ZIP 87123-007
Phone: (505) 332-6814
Fax: (505) 332-6800

The provider's authorized official is Vince Smith .
The authorized official title is Director and has the following contact phone number (505) 332-6814.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 6/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		5025	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	M0303	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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