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BROOKHAVEN NURSING HOME
NPI 1043200454
Nursing Facility/Intermediate Care Facility in Las Vegas, NM

Active since October 26, 2005
813 4TH ST, LAS VEGAS, NM 87701(505) 425-9304(505) 425-9305 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brookhaven Nursing Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKHAVEN NURSING HOME (NPI 1043200454) is a healthcare organization registered as a nursing facility/intermediate care facility in Las Vegas, New Mexico and active in the NPI registry since October 2005. The organization lists Victoria Aragon, Manager Of Operations, as its authorized official.

NPPES Registry Identity

NPI1043200454
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameBROOKHAVEN NURSING HOME
Location Address813 4TH STLas Vegas, NM 87701-4422
Mailing Address813 4th StLas Vegas, NM 87701-4422 · (505) 425-9304 · Fax (505) 425-9305
Phone(505) 425-9304
Fax(505) 425-9305
Organization SubpartNo
Authorized OfficialVictoria AragonManager Of Operations · (505) 425-9304
Enumeration DateOctober 26, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1043200454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in NM · 1048
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
813 4TH ST, Las Vegas, NM 87701
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Other Identifiers 1

Medicaid75509083NM

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GILBERT CHRISTOPHER ARAGON D.O.
Family Medicine
813 4TH ST
LAS VEGAS, NM 87701
San Miguel County (505) 425-9304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brookhaven Nursing Home's NPI number?

The NPI number for Brookhaven Nursing Home is 1043200454. It was assigned to this organization in the NPPES registry on October 26, 2005.

Where is Brookhaven Nursing Home located?

Brookhaven Nursing Home is located at 813 4th St, Las Vegas, NM 87701. The listed phone number is (505) 425-9304.

What is Brookhaven Nursing Home's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Brookhaven Nursing Home was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.