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Brookhaven Nursing Home
Nursing Facility/Intermediate Care Facility in Las Vegas, New Mexico
NPI 1043200454

Brookhaven Nursing Home is a Nursing Facility/Intermediate Care Facility based in Las Vegas, NM. Brookhaven Nursing Home practices in Las Vegas, NM. The NPI Number for Brookhaven Nursing Home is 1043200454 and holds a License No. 1048 (New Mexico).

The current practice location address for Brookhaven Nursing Home is 813 4Th St, Las Vegas, NM and can be reached out via phone at 505-425-9304 and via fax at 505-425-9305. You can also correspond with Brookhaven Nursing Home through the mailing address at 813 4TH ST, LAS VEGAS, NM - 87701-4422 (mailing address contact number: 505-425-9304).

Location: 813 4Th St, Las Vegas, NM, 87701-4422
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043200454
Provider Name
Brookhaven Nursing Home
Credential
Provider Entity Type
Organization
Address
813 4Th St, Las Vegas, NM, 87701-4422
Phone Number
505-425-9304
Fax Number
505-425-9305
Provider Enumeration Date
10/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
75509083 05 NM
institution
Provider Business Practice Location Address Details
Address
813 4Th St
City
Las Vegas
State
New Mexico
Zip
87701-4422
Phone Number
505-425-9304
Fax Number
505-425-9305
person
Provider Business Mailing Address Details
Address
813 4Th St
City
Las Vegas
State
New Mexico
Zip
87701-4422
Phone Number
505-425-9304
Fax Number
505-425-9305
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
1048 (New Mexico)
Definition
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.
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