National Provider Identifier Database

ARCA GIBSON HOME
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

ARCA - GIBSON HOME
5605 GIBSON BLVD SE
ALBUQUERQUE, NM87108-4831
Phone: 505-332-6814
Fax: 505-332-6800
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for ARCA - GIBSON HOME

NPI Number 1043355878
Legal business name
LBN
ARCA - GIBSON HOME
Authorized official VINCE SMITH - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 02/20/2007
Last updated 06/04/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 5028
  • NM Medicaid: M0444

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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