Organization Active NPI

At-Home Personal Care Services LLC.

  • Home Health Agency
  • Santa Teresa, NM
National Provider Identifier
1265758452
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Apr 13, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
64031284MedicaidNM

Other names 1

  • AT-Home Personal Care Services LLC. Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.