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NPI Code Detail

MEDICARE: BELEN MEADOWS HEALTHCARE AND REHABILITATION CENTER, LLC

MEDICARE: BELEN MEADOWS HEALTHCARE AND REHABILITATION CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility1071NM

General Provider Information

NPI Number : 1528250685
Entity Type Code : Organization
Provider Name (Legal Business Name) : BELEN MEADOWS HEALTHCARE AND REHABILITATION CENTER, LLC
Provider Business Mailing Address
First Line : 1831 CAMINO DEL LLANO
Second Line :
City : BELEN
State : NM
Zip : 87002-2619
Country : US
Telephone Number : 505-864-1600
Fax Number : 505-864-6923
Provider Business Practice Location Address
First Line : 1831 CAMINO DEL LLANO
Second Line :
City : BELEN
State : NM
Zip : 87002-2619
Country : US
Telephone Number : 505-864-1600
Fax Number : 505-864-6923
Authorized Official
Title or Position : ASSISTANT SECRETARY
Name : MICHAEL T. BERG
Credential :
Telephone Number : 505-468-4752
Provider Enumeration Date : 08/13/2007
Last Update Date : 02/24/2016

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