Organization Active NPI

Monte Vista Personal Care LLC

  • In Home Supportive Care Agency
  • Albuquerque, NM
National Provider Identifier
1083385223
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MONTE VISTA PERSONAL CARE LLC
Practice address
6303 Indian School Rd NE Ste 104
Albuquerque, NM 87110-5317
Phone
(505) 881-4000
Fax
(505) 881-4100
NPI assigned
Sep 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Rosa I Montelongo
Title
Office Manager
Phone
(505) 881-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6303 Indian School Rd NE Ste 104
Albuquerque, NM 87110-5317

Mailing address

6303 Indian School Rd NE Ste 104
Albuquerque, NM 87110-5317
Phone (505) 881-4000

Other identifiers 1

IdentifierTypeStateIssuer
03000222MedicaidNM

National Provider Directory

National Provider Directory

Locations

6303 Indian School Rd NE
Ste 100
Albuquerque, NM 87110

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1083385223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 INDIAN SCHOOL RD NE STE 104",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105317",
            "telephone_number": "505-881-4000",
            "fax_number": "505-881-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 INDIAN SCHOOL RD NE STE 104",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105317",
            "telephone_number": "505-881-4000",
            "fax_number": "505-881-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTE VISTA PERSONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "MONTELONGO",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-881-4000"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03000222",
            "state": "NM"
        }
    ],
    "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 Jun 4, 2024; 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.