Thi of New Mexico at En Su Casa LLC
Organization Active NPI Personal Care Attendant · Lordsburg, NM
NPI 1194932707 · NPPES record last updated Mar 11, 2008
Key facts
- NPI
- 1194932707
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Legal business name
- THI OF NEW MEXICO AT EN SU CASA LLC
- Practice address
- 524 De Moss St
Suite 12
Lordsburg, NM 88045-2626 - Phone
- (505) 542-3130
- NPI assigned
- May 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Josie Pebsworth
- Title
- President
- Phone
- (505) 522-7000
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- En Su Casa Personal Care
Locations
524 De Moss St
Ste 12
Lordsburg, NM 88045
Phone (505) 542-3130
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant |
3747P1801X | Yes |
Addresses
Primary practice location
524 De Moss St
Suite 12
Lordsburg, NM 88045-2626
Mailing address
930 Ridgebrook Rd
Sparks, MD 21152-9390
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66836361 | Medicaid | NM |
Other names
- En Su Casa Personal Care
Other providers in Lordsburg, NM
- Silverstone Healthcare of Lordsburg, LLC
- Ahsley W. Smith
- Kelly Snarr
- Joanha M Strelaw
- Sunshine Haven Nursing Operations, LLC
- Della Borrego Upton
- Mary Kathleen Watson
- Andrea Yanez
- Efstathia Yerende
All providers in Lordsburg, NM · Personal Care Attendant in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.