AMIKIDS SANDOVAL, INC. – NPI #1407376585
Residential Treatment Facility, Emotionally Disturbed Children

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.

AMIKIDS SANDOVAL, INC. is a residential treatment facility located in FARMINGTON, NM. NPPES has assigned the NPI number 1407376585 to AMIKIDS SANDOVAL, INC. on June 21, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was last updated on Mar 23, 2026. 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 AMIKIDS SANDOVAL, INC. below.

NPI Profile for
AMIKIDS SANDOVAL, INC.

NPI Number
1407376585
Enumeration Date

(about 9 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
AMIKIDS SANDOVAL, INC.
Primary location
851 ANDREA DR STE 4
FARMINGTON, NM 87401-6726
Phone: (505) 220-1258 Fax: (505) 592-1141
1 Other location(s):
851 Andrea Dr Ste 4
Farmington, NM 87401-6726
Phone: (505) 220-1258
Fax: (505) 592-1141
Mailing address
851 ANDREA DR BLDG E
FARMINGTON, NM 87401-6726
Phone: (505) 346-0075 Fax:
Organization Subpart
No
Authorized Official
ROSEMARY BRACKMAN
VICE PRESIDENT, SUPPORT SERVICES
Phone: (813) 887-3300
Updated
Certification Date
Mar 23, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AMIKIDS SANDOVAL, INC.

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
medicaidNM48535541
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.

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.