Genuine Home Healthcare of New Mexico

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

03208235005 Issued in NM

Legal business name

GENUINE HOME HEALTHCARE OF NEW MEXICO

Practice address

720 Los Viejos Dr SW
Albuquerque, NM 87105-3312

Phone

(505) 750-4335

NPI assigned

Jan 20, 2011

Organization subpart

Yes

Parent organization

THE HEATHER GROUPAs reported in NPPES

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

Authorized official

Name

Mario Cordova

Title

Ceo

Phone

(505) 750-4335

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1275838369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 LOS VIEJOS DR SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871053312",
            "telephone_number": "505-750-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 LOS VIEJOS DR SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871053312",
            "telephone_number": "505-750-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENUINE HOME HEALTHCARE OF NEW MEXICO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HEATHER GROUP",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-750-4335"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "03208235005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine C Gentry-Funk, SLP
• Caitlynne Marie Gentry, AUD
• Joshua Daniel Gentry, PT, DPT
• Miranda Rose Gentry
• Edward Seamus Gentz, LPCC
• Denise Geoffrion
• Irini Georgas, LMHC
• George Baca MD, LLC
• George Chandran MD
• George Chiha LCSW

• Home Health Agency in Albuquerque, NM
• Providers in Albuquerque, 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 Jan 20, 2011; 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.