Active NPI
Authentic Personal Care Services LLC
- In Home Supportive Care Agency
- Albuquerque, NM
National Provider Identifier
1114740875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | 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 |
|---|---|---|---|
| N0024758 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
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.