NPIMap

Organization Active NPI

Abq Mobile Blood Service

  • In Home Supportive Care Agency
  • Albuquerque, NM
National Provider Identifier
1164657144
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
20-0034R06 Issued in MD
Legal business name
ABQ MOBILE BLOOD SERVICE
Practice address
11101 Fiesta Park NW
Albuquerque, NM 87114-5275
Phone
(505) 974-9177
Fax
(505) 508-2022
NPI assigned
May 20, 2009
Last updated
May 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Authorized official

Name
Mr. Joseph Escudero, CPTNPI 1174766976
Title
Owner/Operator
Phone
(505) 974-9177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 20-0034R06 MD Primary

Addresses

Primary practice location

11101 Fiesta Park NW
Albuquerque, NM 87114-5275

Mailing address

11101 Fiesta Park NW
Albuquerque, NM 87114-5275
Phone (505) 974-9177

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1164657144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 FIESTA PARK NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145275",
            "telephone_number": "505-974-9177",
            "fax_number": "505-508-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11101 FIESTA PARK NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145275",
            "telephone_number": "505-974-9177",
            "fax_number": "505-508-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABQ MOBILE BLOOD SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "ESCUDERO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "505-974-9177",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPT"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "20-0034R06",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 20, 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.

Verify at the official NPI Registry.