Organization Active NPI

El Mirador Home Health Agency

  • Home Health Agency
  • Albuquerque, NM
National Provider Identifier
1265035950
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EL MIRADOR HOME HEALTH AGENCY
Practice address
10801 Lomas Blvd NE Ste 110
Albuquerque, NM 87112-5474
Phone
(505) 293-5941
Fax
(505) 271-0484
NPI assigned
Nov 17, 2020
Organization subpart
Yes
Parent organization
EL MIRADOR, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Ken Meyers
Title
Director
Phone
(505) 293-5941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

10801 Lomas Blvd NE Ste 110
Albuquerque, NM 87112-5474

Mailing address

10801 Lomas Blvd NE Ste 110
Albuquerque, NM 87112-5474
Phone (505) 293-5941

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Axxess Health Information Exchange (HIE)
Other URL Axxess.com Direct

National Provider Directory

National Provider Directory
Part of
El Mirador Home Health Agency

Locations

10801 Lomas Blvd NE
Ste 110
Albuquerque, NM 87112
Phone (505) 293-5941

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1265035950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 LOMAS BLVD NE STE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125474",
            "telephone_number": "505-293-5941",
            "fax_number": "505-271-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 LOMAS BLVD NE STE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125474",
            "telephone_number": "505-293-5941",
            "fax_number": "505-271-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL MIRADOR HOME HEALTH AGENCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EL MIRADOR, INC",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-293-5941"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Axxess",
            "affiliation": "N",
            "endpointDescription": "physician portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10801 Lomas Blvd NE Ste 110",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871125474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Axxess.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "patient record",
            "address_1": "10801 Lomas Blvd NE Ste 110",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871125474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 17, 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.