VILLA GUADALUPE
NPI 1902022130
Assisted Living Facility in Gallup, NM
NPI Status: Active since April 17, 2007
Contact Information
1900 MARK AVE
GALLUP, NM
ZIP 87301
Phone: (505) 863-6894
Fax: (505) 722-4121
- Organization
- Assisted Living Facility
- CLIA Number: 32D1064469
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 02-05-2027
About VILLA GUADALUPE
This page provides the complete NPI Profile along with additional information for Villa Guadalupe, a provider established in Gallup, New Mexico operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1902022130 assigned on April 2007. The practitioner's primary taxonomy code is 310400000X with license number 5119 (NM). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Villa Guadalupe. The authorized official of this NPI record is Mary Thomas D'mello (Director)
- NPI
- 1902022130
- Provider Legal Name
- LITTLE SISTERS OF THE POOR OF NEW MEXICO, INC.
- Other Organization Name
- VILLA GUADALUPE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1900 MARK AVE GALLUP, NM 87301
- Location Phone
- (505) 863-6894
- Location Fax
- (505) 722-4121
- Mailing Address
- 1900 MARK AVE GALLUP, NM 87301
- Mailing Phone
- (505) 863-6894
- Mailing Fax
- (505) 722-4121
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-17-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 5119
- License State
- NM
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5119 | OTHER (01) | NM | ARC LICENSE # |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 32D1064469
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- February 06, 2025
- Certificate Expiration Date
- February 05, 2027
- Laboratory Director
- SR THERESA LOUISA WOO CHING
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Villa Guadalupe to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for VILLA GUADALUPE
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 0 | 2 | 0 | 2 | 2 | 1 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 0 | 2 | 0 | 2 | 4 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 0 + 2 + 0 + 2 + 4 + 1 + 6 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1902022130 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
DHHS,PHS,NAIHS,GALLUP INDIAN MEDICAL CENTER
Assisted Living Facility
1900 MARK AVE
GALLUP, NM
ZIP 87301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902022130, enumerated as an "organization" on April 17, 2007.
The provider is located at 1900 MARK AVE GALLUP, NM 87301 and the phone number is (505) 863-6894.
Assisted Living Facility with taxonomy code 310400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
