MEDICARE: THE NEIGHBORHOOD IN RIO RANCHO

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
1	314000000X	Skilled Nursing Facility		NM
2	314000000X	Skilled Nursing Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4005	OTHER	NM	STATE OF NM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609231448
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE NEIGHBORHOOD IN RIO RANCHO

Provider Business Mailing Address
First Line	:	900 LOMA COLORADO BLVD NE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87124-6524
Country	:	US
Telephone Number	:	505-994-2296
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 LOMA COLORADO BLVD NE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87124-6511
Country	:	US
Telephone Number	:	505-923-4833
Fax Number	:	505-291-3293

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	HAROLD ERMSHAR
Credential	:
Telephone Number	:	505-518-8210

Provider Enumeration Date	:	12/21/2015
Last Update Date	:	12/11/2025

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Directions to “THE NEIGHBORHOOD IN RIO RANCHO ” Practice Location

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