Active NPI
Las Cruces Comprehensive Rehabilitation Inc.
- Home Health Agency
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- IT-3435
- Legal business name
- LAS CRUCES COMPREHENSIVE REHABILITATION INC.
- Practice address
- 4151 Camino Coyote
P.O. 13759
Las Cruces, NM 88011-7096 - Phone
- (575) 522-0484
- Fax
- (575) 522-0483
- NPI assigned
- Apr 2, 2013
- Organization subpart
- Yes
- Parent organization
- LAS CRUCES COMPREHENSIVE REHABILITATION INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ava Borde
- Title
- Coo
- Phone
- (575) 522-0484
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | IT-3435 | NM | Primary |
Addresses
Primary practice location
4151 Camino Coyote
P.O. 13759
Las Cruces, NM 88011-7096
Mailing address
4151 Camino Coyote
Las Cruces, NM 88011-7096
Phone (575) 522-0484
Other names 1
- Las Cruces Home Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140131001799 | NM | Part A Provider - Home Health Agency | 2062661127 | Practice locations: Las Cruces, NM |
Home health agency certification: CCN 327222
- Legal name
- LAS CRUCES COMPREHENSIVE REHABILITATION INC
- Doing business as
- LAS CRUCES HOME CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 20, 2014
- Last certification
- Jul 22, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jun 29, 2011 in NM
- Enrollment address
- 4151 Camino Coyote
Las Cruces, NM 88011-7096
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Las Cruces Home Care
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 20, 2014
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy
National Provider Directory
National Provider Directory- Part of
- Las Cruces Comprehensive Rehabilitation Inc
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Las Cruces, NM
- NPI 1316218910
Member Of
Locations
2540 S Telshor Blvd
Ste B
Las Cruces, NM 88011
Phone (575) 522-0484
4151 Camino Coyote
Las Cruces, NM 88011
Phone (575) 522-0484
Ownership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Arlie Borde | Corporate Director | Aug 21, 2016 | |
| Las Cruces Comprehensive Rehabilitation Inc | 5% Or Greater Direct Ownership Interest | Jan 1, 2011 | 100% |
| Ava Borde | Corporate Officer | May 20, 2016 | |
| W-2 Managing Employee | May 20, 2016 | ||
| Operational/Managerial Control | May 20, 2016 | ||
| Brandon Barker | Corporate Officer | Aug 21, 2016 | |
| Corporate Director | Aug 21, 2016 | ||
| Larry Barker | 5% Or Greater Indirect Ownership Interest | May 20, 2016 | 100% |
| Corporate Officer | May 20, 2016 | ||
| Corporate Director | May 20, 2016 | ||
| Operational/Managerial Control | May 20, 2016 | ||
| Las Cruces Rehabilitation Management LLC | 5% Or Greater Direct Ownership Interest | May 20, 2016 | 100% |
| Operational/Managerial Control | May 20, 2016 | ||
| Harold Morrow | Corporate Officer | Aug 21, 2016 | |
| Andie Gray | Corporate Director | Aug 21, 2016 |
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- Las Cruces, NM
- NPI 1811025349
Home health agency
-
- Neurological Surgery Physician
- Las Cruces, NM
- NPI 1598818189
Home health agency
-
- Orthopaedic Surgery Physician
- Las Cruces, NM
- NPI 1922091495
Home health agency
-
- Orthopaedic Surgery Physician
- Las Cruces, NM
- NPI 1598085680
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626048000000",
"number": "1043553670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4151 CAMINO COYOTE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880117096",
"telephone_number": "575-522-0484",
"fax_number": "575-522-0483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4151 CAMINO COYOTE",
"address_2": "P.O. 13759",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880117096",
"telephone_number": "575-522-0484",
"fax_number": "575-522-0483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAS CRUCES COMPREHENSIVE REHABILITATION INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LAS CRUCES COMPREHENSIVE REHABILITATION INC.",
"enumeration_date": "2013-04-02",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A",
"authorized_official_last_name": "BORDE",
"authorized_official_first_name": "AVA",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "575-522-0484"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NM",
"license": "IT-3435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Las Cruces Home Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Las Cruces Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Cruces, NM
- Las Cruces Behavioral Medicine Associates, Inc.
- Las Cruces Cancer Care LLC
- Las Cruces Cardiology, LLC
- Las Cruces Care Holdings LLC
- Las Cruces Caregiving Company LLC
- Las Cruces Dental Associates, PC
- Las Cruces Dental Hygienists Clinic LLC
- Las Cruces Dental Solutions
- Las Cruces Dental Solutions LLC
- Las Cruces Dermatology Associates P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.