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OUR IMAGINAL WORLD LLC NPI 1528700770


NPI Information

NPI: 1528700770
Provider Name: OUR IMAGINAL WORLD, LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
245 ROSARIO BLVD APT C
SANTA FE, NM
ZIP 87501
Phone: (917) 626-5360
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OUR IMAGINAL WORLD, LLC is a community behavioral health in Santa Fe, NM. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. OUR IMAGINAL WORLD, LLC NPI is 1528700770. The provider is registered as an organization entity type.

The provider's business location address is:

245 ROSARIO BLVD APT C
SANTA FE, NM
ZIP 87501-373
Phone: (917) 626-5360

The provider's authorized official is Magdalena Karlick .
The authorized official title is Director and has the following contact phone number (917) 626-5360.

The enumeration date for this NPI number is 4/8/2022 and was last updated on 4/8/2022.


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
1251S00000XCommunity/Behavioral HealthYes

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
11326276288MEDICAIDNEW 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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