Organization
LITTLE SISTERS OF THE POOR OF NEW MEXICO, INC.
Active
Other names
Villa Guadalupe
Organization subpart
No
Provider details
NPI number
Authorized official
MARY THOMAS D'MELLO (DIRECTOR)
(505) 863-6894
Entity
Organization
Contact information
Practice address
1900 MARK AVE, GALLUP, NM 87301-4822
(505) 863-6894
(505) 722-4121
Mailing address
1900 MARK AVE, GALLUP, NM 87301-4822
(505) 863-6894
(505) 722-4121
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5119
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5119
ARC LICENSE #
NM
Enumeration date
04/17/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up