Organization Active NPI

Highland Navajo Outreach

  • Home Health Agency
  • Thoreau, NM
National Provider Identifier
1144336041
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
3578 Issued in NM
Legal business name
HIGHLAND NAVAJO OUTREACH
Practice address
8.5 Mi N. of Thoreau Hwy 371
Rr881A
Thoreau, NM 87323-1078
Phone
(505) 786-7550
Fax
(505) 786-7551
NPI assigned
Aug 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Fran George
Title
Program Director
Phone
(505) 786-7550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 3578 NM Primary

Addresses

Primary practice location

8.5 Mi N. of Thoreau Hwy 371
Rr881A
Thoreau, NM 87323-1078

Mailing address

PO Box 1078
Thoreau, NM 87323-1078
Phone (505) 786-7550

Other identifiers 1

IdentifierTypeStateIssuer
02-946546-00MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144336041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1078",
            "city": "THOREAU",
            "state": "NM",
            "postal_code": "873231078",
            "telephone_number": "505-786-7550",
            "fax_number": "505-786-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8.5 MI N. OF THOREAU HWY 371",
            "address_2": "RR881A",
            "city": "THOREAU",
            "state": "NM",
            "postal_code": "873231078",
            "telephone_number": "505-786-7550",
            "fax_number": "505-786-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND NAVAJO OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "FRAN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "505-786-7550",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "3578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02-946546-00",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thoreau, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.