1. Home
  2. Directory
  3. New Mexico
  4. Belen
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

NEW MEXICO DEPARTMENT OF HEALTH
NPI 1124189048
Intermediate Care Facility, Intellectual Disabilities in Belen, NM

Active since December 13, 2006
84 ESTANCIA ROAD, BELEN, NM 87002(505) 864-4015(505) 841-5316 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About New Mexico Department Of Health NPPES

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

NEW MEXICO DEPARTMENT OF HEALTH (NPI 1124189048), doing business as Los Lunas Community Program, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Belen, New Mexico and active in the NPI registry since December 2006. The organization lists Caitlyn Blaine, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1124189048
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameNEW MEXICO DEPARTMENT OF HEALTH
Location Address84 ESTANCIA ROADBelen, NM 87002
Mailing Address445 Camino Del Rey Sw, Suite ALos Lunas, NM 87031 · (505) 222-0900 · Fax (505) 222-0933
Phone(505) 864-4015
Fax(505) 841-5316
Organization SubpartNo
Authorized OfficialCaitlyn BlaineFinance Director · (505) 264-5456
Enumeration DateDecember 13, 2006
Last NPPES UpdateFebruary 24, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
✔ NPI 1124189048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in NM · 5240
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
84 ESTANCIA ROAD, Belen, NM 87002
Open in Google Maps ↗

Other Names 1

Doing Business AsLos Lunas Community Program

Other Identifiers 1

MedicaidM2402NM

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 New Mexico Department Of Health's NPI number?

The NPI number for New Mexico Department Of Health is 1124189048. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider is doing business as Los Lunas Community Program.

Where is New Mexico Department Of Health located?

New Mexico Department Of Health is located at 84 Estancia Road, Belen, NM 87002. The listed phone number is (505) 864-4015.

What is New Mexico Department Of Health's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for New Mexico Department Of Health was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.