Organization
LIFEHOUSE VISTA TAOS
Active
Parent organization
CARLSBAD LIFEHOUSE INC
Other names
LifeHouse Vista Taos
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARLSBAD LIFEHOUSE INC
Authorized official
KIMBERLY SUSAN ROGGE-ROGERS (EXECUTIVE ADMINISTRATOR)
(575) 302-8304
Entity
Organization
Contact information
Practice address
259 BLUEBERRY HILL RD, EL PRADO, NM 87529-7305
(575) 758-5858
Mailing address
PO BOX 3141, CARLSBAD, NM 88221-3141
(575) 302-8304
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N0046325
—
NM
Enumeration date
05/23/2025
Last updated
02/24/2026
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