DISMAS HOUSE – NPI #1205219771
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

DISMAS HOUSE is a community based residential treatment facility located in ALBUQUERQUE, NM. NPPES has assigned the NPI number 1205219771 to DISMAS HOUSE on July 02, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DISMAS HOUSE below.

NPI Profile for
DISMAS HOUSE

NPI Number
1205219771
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DISMAS HOUSE
Primary location
701 CANDELARIA
ALBUQUERQUE, NM 87108
Phone: (505) 343-0746 Fax: (505) 345-4513
Mailing address
PO BOX 6101
ALBUQUERQUE, NM 87197-6101
Phone: (505) 343-0746 Fax: (505) 345-4513
Organization Subpart
No
Authorized Official
JAMES GIVENS
COMMUNITY SERVICE WORKER
Phone: (505) 343-0746
Updated
Identifiers

Identifiers for DISMAS HOUSE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNMN3938
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
NM NPI#1902918055

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.