Blue Horseshoe, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

6632 Issued in NM

Legal business name

BLUE HORSESHOE, INC.

Doing business as

Advanced Home Care and Medical Supply

Practice address

315 W Country Club Rd
Roswell, NM 88201-5892

Phone

(505) 627-6256

NPI assigned

Jun 22, 2005

Last updated

Aug 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trent Nelson Bates

Title

Administrator

Phone

(505) 627-6256

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Home Care and Medical Supply Doing business as

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1275539504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W COUNTRY CLUB RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015892",
            "telephone_number": "505-627-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W COUNTRY CLUB RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015892",
            "telephone_number": "505-627-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HORSESHOE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "505-627-6256"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "6632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N3288",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Home Care and Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Sue Blackhurst, LPCC
• Deborah Blessing, MOTR
• Jana L Blewett, M.S. CCC-SLP
• Claire Blount
• Blue Horseshoe, Inc. (Advanced Medical Supply)
• Blue Sky Logistics Inc (MedConnect)
• Sonia Bolanos
• Katherine Bolin
• Veronica Bonilla
• James A Boss, M.D.

• Home Health Agency in Roswell, NM
• Providers in Roswell, NM by specialty
• Home Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.