Organization Active NPI

Family Healthcare LLC

  • Home Health Agency
  • Albuquerque, NM
National Provider Identifier
1245354810
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAMILY HEALTHCARE LLC
Practice address
5905 Marble Ave NE Ste 10
Albuquerque, NM 87110-6641
Phone
(505) 265-5084
Fax
(505) 265-5301
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Creyo Campbell
Title
Owner
Phone
(505) 265-5084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5905 Marble Ave NE Ste 10
Albuquerque, NM 87110-6641

Mailing address

5905 Marble Ave NE Ste 10
Albuquerque, NM 87110-6641
Phone (505) 265-5084

Other identifiers 1

IdentifierTypeStateIssuer
N9232MedicaidNM

National Provider Directory

National Provider Directory

Locations

5905 Marble Ave NE
Ste 10
Albuquerque, NM 87110
Phone (505) 265-5084

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245354810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 MARBLE AVE NE STE 10",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106641",
            "telephone_number": "505-265-5084",
            "fax_number": "505-265-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 MARBLE AVE NE STE 10",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106641",
            "telephone_number": "505-265-5084",
            "fax_number": "505-265-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CREYO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-265-5084"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N9232",
            "state": "NM"
        }
    ],
    "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 Aug 22, 2020; 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.