1144309741 NPI number — ZIMMERMAN CONSULTING, INC.

Table of content: THAO DAO (NPI 1205448768)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144309741 NPI number — ZIMMERMAN CONSULTING, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ZIMMERMAN CONSULTING, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SANDHILL CHILD DEVELOPMENT CENTER
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144309741
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/18/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15 JEMEZ DR.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS LUNAS
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
87031
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
505-866-9271
Provider Business Mailing Address Fax Number:
505-866-9278

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
79 ROMERO RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOS LUNAS
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87031-7624
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-866-9271
Provider Business Practice Location Address Fax Number:
505-866-9278
Provider Enumeration Date:
11/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ALEXY
Authorized Official First Name:
KEVIN
Authorized Official Middle Name:
Authorized Official Title or Position:
FISCAL OPERATIONS MANAGER
Authorized Official Telephone Number:
505-866-9271

Provider Taxonomy Codes

  • Taxonomy code: 322D00000X , with the licence number:  1098 & 1112 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 98902563 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: NM600617 . This is a "VALUE OPTIONS PROVIDER #" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".




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