Active NPI
Monte Vista Personal Care LLC
- In Home Supportive Care Agency
- Albuquerque, NM
National Provider Identifier
1083385223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03000222 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
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.