Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

New Mexico Department of Health

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1124189048

New Mexico Department of Health is an Intellectual Disabilities Intermediate Care Facility in Belen, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006

Practice location Address checks out

84 Estancia Rd
Belen, NM 87002
Phone: (505) 864-4015
Fax: (505) 841-5316
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence 5240 (NM)

Record details

NPI number1124189048
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Caitlyn Blaine — Finance Director · (505) 264-5456
Other names Los Lunas Community Program
NPI enumeratedDecember 13, 2006
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address445 Camino Del Rey Sw, Suite A, Los Lunas, NM 87031