Professional Home Health Care de Santa Fe Y Los Alamos

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

3068 Issued in NM

Legal business name

PROFESSIONAL HOME HEALTH CARE DE SANTA FE Y LOS ALAMOS

Practice address

10 Calle Medico
Santa Fe, NM 87505-4724

Phone

(505) 982-8581

Fax

(505) 982-0788

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Brian Conway, R.N.

Title

Director of Operations

Phone

(505) 982-8581

Specialties & licenses 3

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1316940216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CALLE MEDICO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054724",
            "telephone_number": "505-982-8581",
            "fax_number": "505-982-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE MEDICO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054724",
            "telephone_number": "505-982-8581",
            "fax_number": "505-982-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME HEALTH CARE DE SANTA FE Y LOS ALAMOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "505-982-8581",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "6012 A1",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "6603",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "3068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z7002",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOINT COMMISSION",
            "identifier": "357657",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D2062",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62536711",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rafal Proban, M.D.
• Tamara Prochorchik
• Christina Procter, LMSW
• Professional Dental Care of Northern New Mexico I Professional
• Professional Dental Care PLLC
• Professional Home Health Care, Inc
• Tides Profeta
• Jennifer Prosser, MD
• Lauralyn Ann Pryor, LPCC
• Psychiatric and Mental Health Collaborative of New Mexico

• Home Health Agency in Santa Fe, NM
• Providers in Santa Fe, 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 Jul 10, 2024; 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.