CASA MESITA GROUP HOME, INC – NPI #1770721292
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.

CASA MESITA GROUP HOME, INC is a residential treatment facility located in LOS ALAMOS, NM. NPPES has assigned the NPI number 1770721292 to CASA MESITA GROUP HOME, INC on January 22, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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.

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 CASA MESITA GROUP HOME, INC below.

NPI Profile for
CASA MESITA GROUP HOME, INC

NPI Number
1770721292
Enumeration Date

(more than 17 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
CASA MESITA GROUP HOME, INC
Primary location
4007 SYCAMORE ST
LOS ALAMOS, NM 87544-1728
Phone: (505) 662-4378 Fax: (505) 662-6834
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DANIEL BARTHOLOMEW
PRESIDENT, BOARD OF DIRECTORS
Phone: (505) 662-4378
Updated
Identifiers

Identifiers for CASA MESITA GROUP HOME, 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
MEDICAIDNM0000M0196
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
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
NM 4119

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.