Organization Active NPI

Gonzales Family, Inc

Doing business as Alternative Home Health Care

  • Home Health Agency
  • Las Vegas, NM
National Provider Identifier
1043324221
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
6211 Issued in NM
Legal business name
GONZALES FAMILY, INC
Doing business as
Alternative Home Health Care
Practice address
1118 National Ave
Las Vegas, NM 87701-4025
Phone
(505) 425-1538
Fax
(505) 425-7682
NPI assigned
Aug 18, 2006
Last updated
Nov 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Mrs. Maxine E Gonzales
Title
Administrator
Phone
(505) 425-1538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 6211 NM Primary

Addresses

Primary practice location

1118 National Ave
Las Vegas, NM 87701-4025

Mailing address

1118 National Ave
Las Vegas, NM 87701-4025
Phone (505) 425-1538

Other identifiers 1

IdentifierTypeStateIssuer
32-7099OtherNMMEDICARE LEGACY NUMBER

Other names 1

  • Alternative Home Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

1118 National Ave
Las Vegas, NM 87701
Phone (505) 425-1538

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1043324221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 NATIONAL AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014025",
            "telephone_number": "505-425-1538",
            "fax_number": "505-425-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 NATIONAL AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014025",
            "telephone_number": "505-425-1538",
            "fax_number": "505-425-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALES FAMILY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "505-425-1538",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "6211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY NUMBER",
            "identifier": "32-7099",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alternative Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.