Active NPI
Inteli-Care, LLC
- Home Health Agency
- Albuquerque, NM
National Provider Identifier
1023116548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06274081 | Medicaid | NM | |
| 85277304 | Medicaid | NM | |
| 63430061 | Medicaid | NM | |
| 820408 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
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.