Provider Demographics
NPI:1497800106
Name:RAMAH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:RAMAH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-863-8940
Mailing Address - Street 1:PO BOX 3368
Mailing Address - Street 2:
Mailing Address - City:GALLUP
Mailing Address - State:NM
Mailing Address - Zip Code:87305-3368
Mailing Address - Country:US
Mailing Address - Phone:505-488-2178
Mailing Address - Fax:505-863-7910
Practice Address - Street 1:2405 FUHS AVE BLDG 7
Practice Address - Street 2:
Practice Address - City:GALLUP
Practice Address - State:NM
Practice Address - Zip Code:87301-4402
Practice Address - Country:US
Practice Address - Phone:505-863-8940
Practice Address - Fax:505-863-8943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM5753310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMD0132Medicaid