NPIMap

Organization Active NPI

Roosevelt County Special Hospital District

Doing business as Roosevelt General Hospital Home Health

  • Home Health Agency
  • Portales, NM
National Provider Identifier
1235324815
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
3178 Issued in NM
Legal business name
ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT
Doing business as
Roosevelt General Hospital Home Health
Practice address
1412 South Avenue O
Suite B
Portales, NM 88130-7091
Phone
(505) 226-4663
Fax
(505) 226-4664
NPI assigned
Sep 7, 2007
Last updated
Dec 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Gary Partin
Title
Director
Phone
(505) 226-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 3178 NM Primary

Addresses

Primary practice location

1412 South Avenue O
Suite B
Portales, NM 88130-7091

Mailing address

PO Box 868
Portales, NM 88130-0868
Phone (505) 226-4663

Other names 1

  • Roosevelt General Hospital Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

1412 S Avenue O
#B
Portales, NM 88130
Phone (505) 226-4663

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1235324815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 868",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881300868",
            "telephone_number": "505-226-4663",
            "fax_number": "505-226-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 SOUTH AVENUE O",
            "address_2": "SUITE B",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881307091",
            "telephone_number": "505-226-4663",
            "fax_number": "505-226-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "PARTIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-226-4663"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "3178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roosevelt General Hospital Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portales, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.