Enchanted Hills Home Healthcare Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

3202B1 Issued in NM

Legal business name

ENCHANTED HILLS HOME HEALTHCARE AGENCY, INC.

Practice address

4273 Montgomery Blvd. NE
Building K Ste. 130
Albuquerque, NM 87109

Phone

(505) 867-0621

NPI assigned

Dec 13, 2017

Organization subpart

Yes

Parent organization

ENCHANTED HILLS HOME HEALTH CARE AGENCY, INC.As reported in NPPES

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

Authorized official

Name

Melissa Johns, RN

Title

Owner

Phone

(505) 867-0621

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Enchanted Hills Home Healthcare Agency Inc2 organizations share this tax ID, including this one

Part of

Enchanted Hills Home Healthcare Agency Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Enchanted Hills Home Healthcare Agency, Inc.

  • Home Health Agency
  • Rio Rancho, NM
  • NPI 1578672424
  NPD tax ID

Locations

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1164937199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 ENCHANTED HILLS BLVD NE STE 200",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871448625",
            "telephone_number": "505-867-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4273 MONTGOMERY BLVD. NE",
            "address_2": "BUILDING K STE. 130",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-867-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCHANTED HILLS HOME HEALTHCARE AGENCY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENCHANTED HILLS HOME HEALTH CARE AGENCY, INC.",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-867-0621",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "3202B1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75208067",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94935505",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany M Enache, P.T.
• Enchanted Care Centers
• Enchanted Care Solutions, LLC
• Enchanted Family Medicine
• Enchanted Healing of New Mexico, LLC
• Enchanted Psychiatry LLC
• Enchanting Skies Healing LLC
• Enchantment Anesthesia LLC
• Enchantment Concierge Family Practice
• Enchantment Counseling

• Home Health Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Home Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.