Active NPI
Family Healthcare LLC
- Home Health Agency
- Albuquerque, NM
National Provider Identifier
1245354810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N9232 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
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.