Organization Active NPI

PG and S, LLC

Doing business as Home Health

  • Home Health Agency
  • Albuquerque, NM
National Provider Identifier
1356772321
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
4796330 Issued in NM
Legal business name
PG AND S, LLC
Doing business as
Home Health
Practice address
10517 Carol PL NE
Albuquerque, NM 87112-5305
Phone
(505) 903-1671
NPI assigned
Dec 2, 2013
Last updated
Dec 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Ms. Mbaember Joyce David-Wuam, MPH
Title
Ceo/Owner
Phone
(505) 903-1671

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 4796330 NM Primary
Nursing Care Agency 251J00000X 4796330 NM

Addresses

Primary practice location

10517 Carol PL NE
Albuquerque, NM 87112-5305

Mailing address

10517 Carol PL NE
Albuquerque, NM 87112-5305
Phone (505) 903-1671

Other names 1

  • Home Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1356772321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10517 CAROL PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125305",
            "telephone_number": "505-903-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10517 CAROL PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125305",
            "telephone_number": "505-903-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PG AND S, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "DAVID-WUAM",
        "authorized_official_first_name": "MBAEMBER",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "505-903-1671",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "4796330",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NM",
            "license": "4796330",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Health",
            "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 2, 2013; 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.