# THI OF NEW MEXICO AT VALLE NORTE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Valle Norte Caring Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649367830
- **Authorized official:** JIMMY MELTON (PRESIDENT)
- **Authorized official phone:** (505) 823-1885

## Contact information

- **Practice address:** 8820 HORIZON BLVD NE, ALBUQUERQUE, NM 87113-1689
- **Practice address phone:** (505) 823-1885
- **Practice address fax:** (505) 857-0531
- **Mailing address:** 930 RIDGEBROOK RD, SPARKS, MD 21152-9390
- **Mailing address phone:** (410) 773-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2006
- **Last updated:** 03/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 77106709 | — | NM |