Healthcare Provider Details

I. General information

NPI: 1396632527
Provider Name (Legal Business Name): BEEHIVE HOMES OF RATON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2025
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1465 TURNESA ST
RATON NM
87740-4458
US

IV. Provider business mailing address

1465 TURNESA ST
RATON NM
87740-4458
US

V. Phone/Fax

Practice location:
  • Phone: 575-245-1003
  • Fax: 575-245-4003
Mailing address:
  • Phone: 575-245-1003
  • Fax: 575-245-4003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: LAURA ADAMS
Title or Position: ADMINISTRATOR
Credential:
Phone: 864-344-4080