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

NPI Status: Active since October 26, 2005

Contact Information

813 4TH ST
LAS VEGAS, NM
ZIP 87701
Phone: (505) 425-9304
Fax: (505) 425-9305

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About BROOKHAVEN NURSING HOME

This page provides the complete NPI Profile along with additional information for Brookhaven Nursing Home, a provider established in Las Vegas, New Mexico operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1043200454 assigned on October 2005. The practitioner's primary taxonomy code is 313M00000X with license number 1048 (NM). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mrs. Victoria Aragon (Manager Of Operations)

NPI
1043200454
Provider Name
BROOKHAVEN NURSING HOME
Entity Type
Organization
Location Address
813 4TH ST LAS VEGAS, NM 87701
Location Phone
(505) 425-9304
Location Fax
(505) 425-9305
Mailing Address
813 4TH ST LAS VEGAS, NM 87701
Mailing Phone
(505) 425-9304
Mailing Fax
(505) 425-9305
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-26-2005
Last Update Date
08-22-2020
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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

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
1048
License State
NM
Taxonomy Description
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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. VICTORIA ARAGON

Authorized Official Title
MANAGER OF OPERATIONS
Authorized Official Phone
(505) 425-9304

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
75509083MEDICAID (05)NM 

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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.
1043200454
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2083400410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 4 + 0 + 0 + 4 + 1 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1043200454 is valid because the calculated check digit 4 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.

NPI Name / Type Taxonomy Address
1417917816DR. GILBERT CHRISTOPHER ARAGON D.O.
Individual
Family Medicine813 4TH ST
LAS VEGAS, NM 87701
(505) 425-9304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043200454, enumerated in the NPI registry as an "organization" on October 26, 2005

The provider is located at 813 4th St Las Vegas, Nm 87701 and the phone number is (505) 425-9304

This medical organization specializes in Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 26, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.