Active NPI
Coordinated Skilled Care, Inc.
- Home Health Agency
- Las Cruces, NM
National Provider Identifier
1164652426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- COORDINATED SKILLED CARE, INC.
- Doing business as
- Coordinated Home Health Skilled Care
- Practice address
- 205 W Boutz Rd
Building 6
Las Cruces, NM 88005-3262 - Phone
- (505) 523-8885
- Fax
- (505) 525-3137
- NPI assigned
- Jul 21, 2009
- 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
- Philip Doherty
- Title
- Ceo
- Phone
- (575) 541-4201
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
205 W Boutz Rd
Building 6
Las Cruces, NM 88005-3262
Mailing address
205 W Boutz Rd
Building 6
Las Cruces, NM 88005-3262
Phone (505) 523-8885
Other names 1
- Coordinated Home Health Skilled Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248134400000",
"number": "1164652426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W BOUTZ RD",
"address_2": "BUILDING 6",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053262",
"telephone_number": "505-523-8885",
"fax_number": "505-525-3137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W BOUTZ RD",
"address_2": "BUILDING 6",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053262",
"telephone_number": "505-523-8885",
"fax_number": "505-525-3137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COORDINATED SKILLED CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-21",
"last_updated": "2009-07-21",
"status": "A",
"authorized_official_last_name": "DOHERTY",
"authorized_official_first_name": "PHILIP",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "575-541-4201"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Coordinated Home Health Skilled Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.