Halvorson House, Inc. in Farmington - Residential Treatment Facility, Emotionally Disturbed Children
Halvorson House, Inc. - NPI 1891892014
Halvorson House, Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in Farmington, New Mexico. Halvorson House, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Halvorson House, Inc. is 1891892014. The last update date is 2020-08-22.
Halvorson House, Inc.'s current location address is 108 N Behrend Ave, Farmington, New Mexico. You can contact this provider via phone number 5053262736. The mailing address for Halvorson House, Inc. is 108 N Behrend Ave, Farmington, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Halvorson House, Inc. |
|---|---|
| Address | 108 N Behrend Ave, Farmington, New Mexico |
| Phone Number | 5053262736 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Lewis Tami |
| Telephone Number | 5053262736 |
NPI Number Detail
| NPI Number | 1891892014 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 108 N Behrend Ave |
|---|---|
| City | Farmington |
| State | New Mexico (NM) |
| Post Code | 874018448 |
| Phone Number | 5053262736 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 1079A |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| M1925 | NM | -- | |
| M0115 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Halvorson House, Inc. by the Centers for Medicare & Medicaid Services?
The Halvorson House, Inc. has been assigned the NPI (National Provider Identifier) 1891892014 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Halvorson House, Inc.'s facilities are situated?
The facilities of Halvorson House, Inc. are physically located at the following address: 108 N Behrend Ave, Farmington, NM, 874018448.
What is Halvorson House, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Halvorson House, Inc.'s area of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this field of practice is 322D00000X.
On what date did the Halvorson House, Inc. receive its 1891892014 assignment from the Centers for Medicare & Medicaid Services?
The Halvorson House, Inc. was assigned its 1891892014 by the Centers for Medicare & Medicaid Services on 2006-09-20.
When was the information pertaining to Halvorson House, Inc. most recently updated or revised?
The details related to Halvorson House, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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