Hospice Supply of New Mexico

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

03025316000 Issued in NM

Legal business name

HOSPICE SUPPLY OF NEW MEXICO

Practice address

2301 Martin Luther King Blvd
Clovis, NM 88101-9401

Phone

(505) 769-9050

Fax

(505) 769-9066

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Teresa Kay Smith

Title

Owner

Phone

(505) 769-9050

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Clovis Home Medical Equipment Doing business as

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1366484834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 COLONIAL PKWY",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881013117",
            "telephone_number": "505-762-2437",
            "fax_number": "505-762-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 MARTIN LUTHER KING BLVD",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881019401",
            "telephone_number": "505-769-9050",
            "fax_number": "505-769-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE SUPPLY OF NEW MEXICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-769-9050",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": "03025316000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65477278",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF NM",
            "identifier": "TB61",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clovis Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathy Ann Hooper
• Jacquelyn Hoppe
• Kevin Douglas Horn, NP
• Dana L Horne, CCC SLP
• Elizabeth Horner
• Donald Ray Hudson, P.T.
• Blanca D Huerta
• Kerry G Hughes, PT
• Annette Hulder
• Ivy Hummel

• All providers in Clovis, NM
• Durable Medical Equipment & Medical Supplies in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.