VCG New Mexico LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VCG NEW MEXICO LLC

Practice address

405 N Date St Ste 3
Truth Or Consequences, NM 87901-2378

Phone

(903) 787-7609

NPI assigned

Jul 19, 2023

Organization subpart

No

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

Authorized official

Name

Chris Walker

Title

Chief Operating Officer

Phone

(214) 491-0041

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1124708839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 N CENTRAL EXPY STE 1800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061883",
            "telephone_number": "903-787-7609",
            "fax_number": "903-871-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N DATE ST STE 3",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879012378",
            "telephone_number": "903-787-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCG NEW MEXICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "214-491-0041"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM STATE LICENSE",
            "identifier": "7158",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Thayer, LMSW
• The Olivetree
• The Roots Counseling Center
• Truth Physical Therapy and Fitness
• Mary Dolores Tyll, PHD ABPP MSCP
• Nichelle Amber Vigil, APRN-CNP
• Wal-Mart Stores East LP
• Karen Diane Weber, LMSW
• Scott Weber, COTS
• Jeffrey Harnden White, CRNA

• Community Based Hospice Care Agency in Truth Or Consequences, NM
• Providers in Truth Or Consequences, NM by specialty
• Community Based Hospice Care Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.