Active NPI
Servaus Home Care LLC
- In Home Supportive Care Agency
- Albuquerque, NM
National Provider Identifier
1124863949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.