Active NPI
PG and S, LLC
Doing business as Home Health
- Home Health Agency
- Albuquerque, NM
National Provider Identifier
1356772321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 4796330
- 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, 2013
- 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
- Ms. Mbaember Joyce David-Wuam, MPH
- Title
- Ceo/Owner
- Phone
- (505) 903-1671
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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
- Angelo Guillermo Pezzarossi, MD
- Lee Alden Pfaff, MD, MA
- Elizabeth A Pfeffer
- Tracy Pfeifer, ABA TUTOR
- Julie Ann Pfeiffer, M.A. CCC-SLP
- PH Ops of Las Estancias LLC (Las Estancias by Pure Health)
- Phaldor Consulting LLC (JC Home Care & Companion Services)
- Bich Van Thi Pham-Tran, PHARM.D.
- Courtney Pham
- Hien Pham
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.