Sacred Spirits Home Health
Organization Active NPI Health Maintenance Organization · Continental Divide, NM
NPI 1003292228 · NPPES record last updated Aug 11, 2015
Key facts
- NPI
- 1003292228
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Maintenance Organization 302R00000X
- License
- R46467 (NM)
- Legal business name
- SACRED SPIRITS HOME HEALTH
- Practice address
- 40 Old Loop
Continental Divide, NM 87312-0145 - Phone
- (505) 240-3711
- NPI assigned
- Aug 11, 2015
- Organization subpart
- No
Authorized official
- Name
- Mrs. Tracy Jaramillo, RN
- Title
- Health Services Admin
- Phone
- (505) 240-3711
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | R46467 | NM | Yes |
Addresses
Primary practice location
40 Old Loop
Continental Divide, NM 87312-0145
Mailing address
PO Box 145
Continental Divide, NM 87312-0145
Phone (505) 240-3711
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.