OrganizationActive
New Mexico Department of Health
NPI 1124189048 · Intellectual Disabilities Intermediate Care Facility · Belen, NM
Provider details
- NPI number
- 1124189048
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Caitlyn Blaine, Finance Director(505) 264-5456
- License
- 5240 (NM)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
84 Estancia Road
Belen, NM 87002
Phone: (505) 864-4015
Fax: (505) 841-5316
Approximate (ZIP-level) locationGet directions
Mailing address
445 Camino Del Rey Sw
Los Lunas, NM 87031
Other names (DBA / former)
- Doing business as
- Los Lunas Community Program
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2025-02-24
- Certified
- 2025-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.