Organization Active NPI

Behavioral Home Care

  • Home Health Agency
  • Rio Rancho, NM
National Provider Identifier
1316091671
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0600098189 Issued in NM
Legal business name
BEHAVIORAL HOME CARE
Practice address
1453 Rio Rancho Dr SE Ste C
Rio Rancho, NM 87124-1837
Phone
(505) 892-1830
Fax
(505) 896-1539
NPI assigned
Jan 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joe A Gonzalez, B.S., M.B.A.
Title
President
Phone
(505) 892-1830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0600098189 NM Primary

Addresses

Primary practice location

1453 Rio Rancho Dr SE Ste C
Rio Rancho, NM 87124-1837

Mailing address

1453 Rio Rancho Dr SE Ste C
Rio Rancho, NM 87124-1837
Phone (505) 892-1830

Other identifiers 2

IdentifierTypeStateIssuer
70884579MedicaidNM
K2335MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316091671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 RIO RANCHO DR SE STE C",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241837",
            "telephone_number": "505-892-1830",
            "fax_number": "505-896-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 RIO RANCHO DR SE STE C",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241837",
            "telephone_number": "505-892-1830",
            "fax_number": "505-896-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-892-1830",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S., M.B.A."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "0600098189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70884579",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K2335",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.