Active NPI
Americare Health Services Corporation
Doing business as Americare
- Durable Medical Equipment & Medical Supplies
- Albuquerque, NM
National Provider Identifier
1346282845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 1477
- Legal business name
- AMERICARE HEALTH SERVICES CORPORATION
- Doing business as
- Americare
- Practice address
- 101 Sun Ave NE
Albuquerque, NM 87109-4373 - Phone
- (505) 468-4678
- Fax
- (505) 468-8013
- NPI assigned
- Jun 11, 2006
- Last updated
- Dec 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter Nyland
- Title
- President-Director
- Phone
- (505) 821-3355
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1477 | Primary | |
| Nursing Facility Supplies (DME) | 332BN1400X | 1477 | GA | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 1477 | GA |
Addresses
Primary practice location
101 Sun Ave NE
Albuquerque, NM 87109-4373
Mailing address
101 Sun Ave NE
Compliance Department
Albuquerque, NM 87109-4373
Phone (505) 468-5604
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90003112 | Medicaid | KY | |
| 1188573 | Medicaid | LA | |
| 30761325 | Medicaid | NH | |
| 4581494 | Medicaid | TN | |
| 009105980 | Medicaid | AL | |
| 011269001 | Medicaid | TX | |
| 48755508 | Medicaid | CO | |
| 561101 | Medicaid | AZ | |
| 625357009 | Medicaid | MO | |
| 7702040 | Medicaid | NC | |
| 804002800 | Medicaid | MD | |
| 9107282 | Medicaid | VA | |
| 000515699A | Medicaid | GA | |
| 2229565 | Medicaid | OH | |
| 806032400 | Medicaid | ID | |
| 200251170A | Medicaid | IN | |
| G4622 | Medicaid | NM |
Other names 1
- Americare
National Provider Directory
National Provider DirectoryLocations
18831 Von Karman Ave
#4
Irvine, CA 92612
Phone (949) 255-7156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323302400000",
"number": "1346282845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SUN AVE NE",
"address_2": "COMPLIANCE DEPARTMENT",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094373",
"telephone_number": "505-468-5604",
"fax_number": "505-468-4681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SUN AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094373",
"telephone_number": "505-468-4678",
"fax_number": "505-468-8013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICARE HEALTH SERVICES CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2011-12-08",
"status": "A",
"authorized_official_last_name": "NYLAND",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "PRESIDENT-DIRECTOR",
"authorized_official_telephone_number": "505-821-3355"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": "1477",
"primary": true
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": "GA",
"license": "1477",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "GA",
"license": "1477",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90003112",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1188573",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30761325",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4581494",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009105980",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011269001",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "48755508",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "561101",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "625357009",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7702040",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "804002800",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9107282",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000515699A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2229565",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806032400",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200251170A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G4622",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Americare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.