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TOHATCHI AREA OF OPPORTUNITY & SERVICES NPI 1306318423


NPI Information

NPI: 1306318423
Provider Name: TOHATCHI AREA OF OPPORTUNITY & SERVICES
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization

CLIA Number: 32D0675807

Address:
1658 S SECOND ST
GALLUP, NM
ZIP 87301
Phone: (505) 722-9287
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TOHATCHI AREA OF OPPORTUNITY & SERVICES is a community based residential treatment facility, intellectual and/or developmental disabilities in Gallup, NM. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. TOHATCHI AREA OF OPPORTUNITY & SERVICES NPI is 1306318423. The provider is registered as an organization entity type.

The provider's business location address is:

1658 S SECOND ST
GALLUP, NM
ZIP 87301-817
Phone: (505) 722-9287
Fax: (505) 722-9189

The provider's authorized official is Kimber Crowe .
The authorized official title is Chief Executive Officer and has the following contact phone number (505) 722-9287.

The CLIA number assigned to this NPI record is 32D0675807 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/31/2018 and was last updated on 12/31/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D1703MEDICAIDNEW 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

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