Organization Active NPI

Inteli-Care, LLC

  • Home Health Agency
  • Albuquerque, NM
National Provider Identifier
1023116548
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INTELI-CARE, LLC
Practice address
2116 Vista Oeste NW Ste 102
Albuquerque, NM 87120-4340
Phone
(505) 898-9745
Fax
(505) 884-8667
NPI assigned
Sep 20, 2006
Last updated
Feb 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Authorized official

Name
Mr. Onesimo C. Vigil, BS, MBA
Title
Ceo
Phone
(505) 898-9745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NM Primary

Addresses

Primary practice location

2116 Vista Oeste NW Ste 102
Albuquerque, NM 87120-4340

Mailing address

2116 Vista Oeste NW Ste 102
Albuquerque, NM 87120-4340
Phone (505) 898-9745

Other identifiers 4

IdentifierTypeStateIssuer
06274081MedicaidNM
85277304MedicaidNM
63430061MedicaidNM
820408MedicaidAZ

National Provider Directory

National Provider Directory

Locations

2116 Vista Oeste NW
Ste 102
Albuquerque, NM 87120
Phone (505) 898-9745

2116 Vista Oeste NW
Ste 2
Albuquerque, NM 87120

1925 Aspen Dr
Ste 701B
Santa Fe, NM 87505

406 6th St N
Ste B
Socorro, NM 87801

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1023116548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 VISTA OESTE NW STE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204340",
            "telephone_number": "505-898-9745",
            "fax_number": "505-884-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 VISTA OESTE NW STE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204340",
            "telephone_number": "505-898-9745",
            "fax_number": "505-884-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELI-CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "VIGIL",
        "authorized_official_first_name": "ONESIMO",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-898-9745",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS, MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06274081",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85277304",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63430061",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "820408",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.