NPIMap

Organization Active NPI

Osalta LLC

  • Home Health Agency
  • Albuquerque, NM
National Provider Identifier
1366110710
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OSALTA LLC
Practice address
6000 Uptown Blvd NE Ste 330
Albuquerque, NM 87110-4332
Phone
(505) 717-1324
Fax
(505) 944-1643
NPI assigned
Sep 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Allain TabaqueroNPI 1083342927
Title
Administrator
Phone
(505) 717-1324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6000 Uptown Blvd NE Ste 330
Albuquerque, NM 87110-4332

Mailing address

6000 Uptown Blvd NE Ste 330
Albuquerque, NM 87110-4332
Phone (505) 717-1324

Other names 1

  • Ardent Home Health of New Mexico LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220120002188 NM Part A Provider - Home Health Agency 2769874973 Practice locations: Albuquerque, NM

Home health agency certification: CCN 327805

Legal name
OSALTA LLC
Doing business as
OSALTA HOME HEALTH, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 1, 2022
Last certification
Jul 21, 2022
Organization structure
LLCProprietary
Enrollment address
6000 Uptown Blvd NE
Ste 330
Albuquerque, NM 87110-4332

Care Compare: Home health agency

Medicare Care Compare
Listed as
Osalta Home Health LLCCCN 327805
Overall star rating
3.5 of 5
Ownership
-
Certified
Aug 1, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2246607Osalta Home Health, LLC6000 Uptown Blvd NE Suite 330, Albuquerque, NM 87110Certificate of waiverDec 27, 2027

National Provider Directory

National Provider Directory

Locations

3620 Wyoming Blvd NE
Ste 219
Albuquerque, NM 87111
Phone (505) 717-1324

6000 Uptown Blvd NE
Ste 330
Albuquerque, NM 87110
Phone (505) 717-1324

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joel Osias Individual 5% Or Greater Direct Ownership Interest Aug 31, 2022
Allain Tabaquero Individual 5% Or Greater Direct Ownership Interest Aug 31, 2022
Corporate Director Aug 31, 2022
W-2 Managing Employee Aug 31, 2022
Esteban Alindogan Individual 5% Or Greater Direct Ownership Interest Aug 31, 2022
Corporate Director Aug 31, 2022
W-2 Managing Employee Aug 31, 2022

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1366110710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 UPTOWN BLVD NE STE 330",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104332",
            "telephone_number": "505-717-1324",
            "fax_number": "505-944-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 UPTOWN BLVD NE STE 330",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104332",
            "telephone_number": "505-717-1324",
            "fax_number": "505-944-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSALTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2025-09-02",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "TABAQUERO",
        "authorized_official_first_name": "ALLAIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "505-717-1324"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ardent Home Health of New Mexico LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.