PHC-Las Cruces Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

3172 Issued in NM

Legal business name

PHC-LAS CRUCES INC

Doing business as

Memorial Home Health

Practice address

1705 E University Ave
Suite a
Las Cruces, NM 88001-5780

Phone

(575) 556-6500

Fax

(575) 522-4168

NPI assigned

Nov 7, 2006

Last updated

Apr 26, 2022By 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

Terrance Dillon

Title

Assistant Secretary

Phone

(502) 596-7220

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Memorial Home Health Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• PHC-Las Cruces Inc

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1164445136

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1316016769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274536",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 E UNIVERSITY AVE",
            "address_2": "SUITE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015780",
            "telephone_number": "575-556-6500",
            "fax_number": "575-522-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHC-LAS CRUCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7220"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "3172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH",
            "identifier": "201060532",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98921576",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BDBS",
            "identifier": "NM01HH76",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE",
            "identifier": "PROVA21336",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• PHC Las Cruces Inc (ID Consultants)
• PHC Las Cruces Inc. (Memorial Medical Center-Ikard Cancer Center)
• PHC Las Cruces Memorial Medical Center Family Practice Center
• PHC Las Cruces, Inc (MMC Family Medicine Center ECHO Care)
• PHC-Las Cruces Inc
• PHC-Las Cruces Inc (Memorial Medical Center of Las Cruces)
• PHC-Las Cruces Inc. Dba Memorial Medical Center Inpatient Pharmacy (Memorial Medical Center Inpatient Pharmacy)
• Robert Carleton Philen, LPN
• Jobin Philipose, M.D.
• Ariel Phillip

• Home Health Agency in Las Cruces, NM
• Providers in Las Cruces, 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 Apr 26, 2022; 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.