Organization Active NPI

Servaus Home Care LLC

  • In Home Supportive Care Agency
  • Albuquerque, NM
National Provider Identifier
1124863949
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SERVAUS HOME CARE LLC
Practice address
7820 Pan American East Fwy NE Ste 1
Albuquerque, NM 87109-4655
Phone
(505) 933-3279
NPI assigned
Jun 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Danielle Corley
Title
Ceo
Phone
(505) 588-2761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7820 Pan American East Fwy NE Ste 1
Albuquerque, NM 87109-4655

Mailing address

7820 Pan American East Fwy NE Ste 1
Albuquerque, NM 87109-4655
Phone (505) 933-3279

Other names 1

  • Servaus Home Care LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

7820 Pan American East Fwy NE
Ste 1
Albuquerque, NM 87109
Phone (505) 933-3279

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1124863949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 PAN AMERICAN EAST FWY NE STE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094655",
            "telephone_number": "505-933-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 PAN AMERICAN EAST FWY NE STE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094655",
            "telephone_number": "505-933-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVAUS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "CORLEY",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-588-2761"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Servaus Home Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 25, 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.

Verify at the official NPI Registry.