Ruth LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

79930387 Issued in NM

Legal business name

RUTH LLC

Practice address

1113 Clemente St SW
Albuquerque, NM 87121-8017

Phone

(505) 839-7152

Fax

(505) 839-1241

NPI assigned

Jan 21, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah Ann Roark

Title

Financial Manager

Phone

(505) 839-7152

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1104002187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 CLEMENTE ST SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871218017",
            "telephone_number": "505-839-7152",
            "fax_number": "505-839-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 CLEMENTE ST SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871218017",
            "telephone_number": "505-839-7152",
            "fax_number": "505-839-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "ROARK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "505-839-7152",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "79930387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79930387",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Russo, RN
• Richele Rene Russom, LMHC
• Lenan Rust, ATR-BC, LPCC, LPAT
• Jonathan Arenas Rustia, PHARM D
• Howard Randall Rustin
• Cyrus Rutherford
• Jayne Rutherford
• Russell Rutherford
• Michelle M Ruthmann, PA-C
• Lindsay Ann Rutland, MS, LMHC

• 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 Jan 21, 2008; 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.