Santa Lucia Llc

LBN: Santa Lucia Llc
Santa Lucia Llc is an health care organization with primary practice located at 519 Johnson Ln , Santa Fe NM 87505-2865. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Santa Lucia Llc can be contacted via phone (505) 690-2636, or through Corbitt, Kimberly via phone (505) 690-2636.

Contact Information

Primary practice address
519 Johnson Ln Santa Fe NM 87505-2865
Phone: (505) 690-2636
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Corbitt, Kimberly
Phone: (505) 690-2636

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 03078437009 New Mexico

Profile Details

NPI number 1871777169
LBN Legal business name Santa Lucia Llc
DBA Doing business as
Authorized official Corbitt, Kimberly
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2007
Last updated Dec 21st, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871777169 NPPES
New Mexico MEDICAID 99171252

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