Active NPI
Advanticare Home Health Services,LLC
- In Home Supportive Care Agency
- Albuquerque, NM
National Provider Identifier
1255648564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ADVANTICARE HOME HEALTH SERVICES,LLC
- Practice address
- 3620 Wyoming Blvd NE
Suite 130
Albuquerque, NM 87111-3297 - Phone
- (505) 292-5222
- Fax
- (505) 292-5333
- NPI assigned
- Sep 8, 2010
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mrs. Lolita Begay-Yazzie
- Title
- Administrator
- Phone
- (505) 292-5222
National Provider Directory
National Provider DirectoryLocations
3620 Wyoming Blvd NE
Ste 130
Albuquerque, NM 87111
Phone (505) 292-5222
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3620 Wyoming Blvd NE
Suite 130
Albuquerque, NM 87111-3297
Mailing address
PO Box 11353
Albuquerque, NM 87192-0353
Phone (505) 292-5222
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60238569 | Medicaid | NM |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2010.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283904000000",
"number": "1255648564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11353",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871920353",
"telephone_number": "505-292-5222",
"fax_number": "505-292-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 WYOMING BLVD NE",
"address_2": "SUITE 130",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113297",
"telephone_number": "505-292-5222",
"fax_number": "505-292-5333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANTICARE HOME HEALTH SERVICES,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-08",
"last_updated": "2010-09-08",
"status": "A",
"authorized_official_last_name": "BEGAY-YAZZIE",
"authorized_official_first_name": "LOLITA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "505-292-5222",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60238569",
"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 Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.