Shanna Dominica Gutierrez, LTC HOME CARE, LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

605 Fox LN SE
Albuquerque, NM 87123-3546

Phone

(505) 234-4272

NPI assigned

Aug 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• LTC Home Care, LLC

  • Home Health Agency
  • Albuquerque, NM
  • NPI 1467237958
  NPD Authorized official

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1295510816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 FOX LN SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871233546",
            "telephone_number": "505-234-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 FOX LN SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871233546",
            "telephone_number": "505-234-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "SHANNA",
        "middle_name": "DOMINICA",
        "name_prefix": "Ms.",
        "credential": "LTC HOME CARE, LLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Gutierrez
• Reuben G Gutierrez, DDS
• Roselle Julie Gutierrez, NP
• Samantha Gutierrez
• Sandra P Gutierrez, DNP
• Theresa A Gutierrez, CFNP
• Timothy L Gutierrez Sr., DMD
• Vanessa Gutierrez
• Christopher James Gutjahr, MD
• Bryan Courtland Gutman, MD

• Home Health Aide in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Home Health Aide in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.