Active NPI
NM Cuidado Casero Home Health LLC
- Home Health Agency
- Anthony, NM
National Provider Identifier
1356531867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 3152
- Legal business name
- NM CUIDADO CASERO HOME HEALTH LLC
- Practice address
- 820 Anthony Dr Ste 3a
Anthony, NM 88021-9331 - Phone
- (575) 882-3539
- Fax
- (575) 882-2369
- NPI assigned
- Jul 31, 2007
- 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
- Carmen Santiago
- Title
- Ceo
- Phone
- (817) 695-6720
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 3152 | NM | Primary |
Addresses
Primary practice location
820 Anthony Dr Ste 3a
Anthony, NM 88021-9331
Mailing address
1110 N Carroll Ave
Southlake, TX 76092-5306
Phone (817) 310-1100
Other practice location 1
820 Anthony Dr
Suite A
Anthony, NM 88021-9331
Phone (575) 882-3539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070607000216 | NM | Part A Provider - Home Health Agency | 2466550983 | Practice locations: Anthony, NM |
Home health agency certification: CCN 327195
- Legal name
- NM CUIDADO CASERO HOME HEALTH LLC
- Doing business as
- NEW MEXICO CUIDADO CASERO HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 6, 2005
- Last certification
- Apr 4, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Oct 30, 2006 in TX
- Enrollment address
- 820 Anthony Drive
Suite a
Anthony, NM 88021-9346
Care Compare: Home health agency
Medicare Care Compare- Listed as
- NM Cuidado Casero Home Health, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- May 6, 2005
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy, Speech pathology
National Provider Directory
National Provider Directory- Tax ID family
- NM Cuidado Casero Home Health LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Anthony, NM
- NPI 1154630796
-
- In Home Supportive Care Agency
- Anthony, NM
- NPI 1861630931
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| NM Cuidado Casero Home Health LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2007 | 100% |
| Carmen Santiago | 5% Or Greater Direct Ownership Interest | Jan 1, 2007 | 100% |
| Corporate Officer | Jan 1, 2007 | ||
| Corporate Director | Jan 1, 2007 | ||
| W-2 Managing Employee | Jan 1, 2007 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591833600000",
"number": "1356531867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 N CARROLL AVE",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760925306",
"telephone_number": "817-310-1100",
"fax_number": "817-310-1197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 ANTHONY DR STE 3A",
"city": "ANTHONY",
"state": "NM",
"postal_code": "880219331",
"telephone_number": "575-882-3539",
"fax_number": "575-882-2369"
}
],
"practiceLocations": [
{
"address_1": "820 Anthony Dr",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Anthony",
"state": "NM",
"postal_code": "880219331",
"country_code": "US",
"telephone_number": "575-882-3539",
"fax_number": "575-882-2369",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NM CUIDADO CASERO HOME HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-31",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A",
"authorized_official_last_name": "SANTIAGO",
"authorized_official_first_name": "CARMEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "817-695-6720"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NM",
"license": "3152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anthony, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.