Mariposa Senior Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1T3404 Issued in NM

Legal business name

MARIPOSA SENIOR CARE

Practice address

3811 Academy Pkwy S NE
Albuquerque, NM 87108

Phone

(505) 234-1744

Fax

(505) 234-1733

NPI assigned

Jul 11, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Jason McDermott

Title

President

Phone

(505) 234-1744

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1023373370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 ACADEMY PKWY S NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-234-1744",
            "fax_number": "505-234-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 ACADEMY PKWY S NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87108",
            "telephone_number": "505-234-1744",
            "fax_number": "505-234-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIPOSA SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-234-1744",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "1T3404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1T3404",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Edward Marinsek, PA C
• Diana P Marioni
• Mariposa Family Medicine
• Mariposa Hand & Rehab Specialists
• Mariposa Hand and Rehab Specialists Limited Partnership
• Mariposa Transformation Wellness Center, LLC
• Marjama Inc
• Jill M Marjama Lyons, M.D.
• Tijana Marjanovic, MD
• Anastasia Marjenhoff, MD STUDENT

• Home Health Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Home Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.