Organization Active NPI

Monte Cristo Home Health LLC

  • Home Health Agency
  • Santa Teresa, NM
National Provider Identifier
1003658774
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MONTE CRISTO HOME HEALTH LLC
Practice address
5805 McNutt Rd Ste D
Santa Teresa, NM 88008-8001
Phone
(575) 332-4007
Fax
(575) 332-4453
NPI assigned
Jun 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Bustillos, DNPNPI 1881182160
Title
Owner
Phone
(915) 244-4966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5805 McNutt Rd Ste D
Santa Teresa, NM 88008-8001

Mailing address

5805 McNutt Rd Ste D
Santa Teresa, NM 88008-8001
Phone (575) 332-4007

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2317692Monte Cristo Home Health5805 McNutt Rd Suite D, Santa Teresa, NM 88008Certificate of waiverJan 28, 2027

National Provider Directory

National Provider Directory

Locations

5805 McNutt Rd
Ste D
Santa Teresa, NM 88008
Phone (575) 265-1717

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1003658774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 MCNUTT RD STE D",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880088001",
            "telephone_number": "575-332-4007",
            "fax_number": "575-332-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 MCNUTT RD STE D",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880088001",
            "telephone_number": "575-332-4007",
            "fax_number": "575-332-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTE CRISTO HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "BUSTILLOS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-244-4966",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Teresa, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.