Active NPI
At-Home Personal Care Services LLC.
- Home Health Agency
- Santa Teresa, NM
National Provider Identifier
1265758452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AT-HOME PERSONAL CARE SERVICES LLC.
- Practice address
- 5305 McNutt Rd
Suite a
Santa Teresa, NM 88008-9653 - Phone
- (575) 589-0189
- Fax
- (575) 589-0218
- NPI assigned
- Apr 13, 2010
- 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
- Mrs. Guadalupe Morin
- Title
- Direct Care Administrator
- Phone
- (575) 589-0189
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5305 McNutt Rd
Suite a
Santa Teresa, NM 88008-9653
Mailing address
5305 McNutt Rd.
Suite a
Santa Teresa, NM 88008-5305
Phone (575) 589-0189
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64031284 | Medicaid | NM |
Other names 1
- AT-Home Personal Care Services LLC.
National Provider Directory
National Provider DirectoryLocations
5305 McNutt Rd
Ste A
Santa Teresa, NM 88008
Phone (575) 525-8484
5312 Rio Bravo Dr
Ste 1
Santa Teresa, NM 88008
Phone (575) 997-1027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271116800000",
"number": "1265758452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5305 MCNUTT RD.",
"address_2": "SUITE A",
"city": "SANTA TERESA",
"state": "NM",
"postal_code": "880085305",
"telephone_number": "575-589-0189",
"fax_number": "575-589-0218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5305 MCNUTT RD",
"address_2": "SUITE A",
"city": "SANTA TERESA",
"state": "NM",
"postal_code": "880089653",
"telephone_number": "575-589-0189",
"fax_number": "575-589-0218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AT-HOME PERSONAL CARE SERVICES LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-13",
"last_updated": "2010-04-13",
"status": "A",
"authorized_official_last_name": "MORIN",
"authorized_official_first_name": "GUADALUPE",
"authorized_official_title_or_position": "DIRECT CARE ADMINISTRATOR",
"authorized_official_telephone_number": "575-589-0189",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64031284",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AT-Home Personal Care Services LLC.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Teresa, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.