Beverely Place LLC
NPI 1811712987ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Rio Rancho, NM
Intermediate Care Facility, Intellectual Disabilities in Rio Rancho, New Mexico, registered in NPPES in November 2024. The authorized official on file is Baze Brownell, RN, Ceo.
Overview
| NPI | 1811712987 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 22, 2024 |
| Last updated in NPPES | Dec 23, 2025 |
| Certified by provider | Dec 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|