Organization Active NPI

Authentic Personal Care Services LLC

  • In Home Supportive Care Agency
  • Albuquerque, NM
National Provider Identifier
1114740875
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AUTHENTIC PERSONAL CARE SERVICES LLC
Practice address
6303 Indian School Rd NE Ste 104
Albuquerque, NM 87110-5317
Phone
(505) 881-4000
Fax
(505) 881-4100
NPI assigned
Nov 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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/ Owner
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
N0024758MedicaidNM

National Provider Directory

National Provider Directory

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1114740875",
    "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": "AUTHENTIC PERSONAL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "MONTELONGO",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OFFICE MANAGER/ OWNER",
        "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": "N0024758",
            "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 Jul 8, 2025; 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.