Active NPI
NM 01 Palliative Care Services PLLC
- In Home Supportive Care Agency
- Albuquerque, NM
National Provider Identifier
1386014769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- NM 01 PALLIATIVE CARE SERVICES PLLC
- Practice address
- 4801 Lang Ave NE
Suite 200a
Albuquerque, NM 87109-4474 - Phone
- (505) 842-5460
- Fax
- (505) 842-5466
- NPI assigned
- Sep 29, 2015
- 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
- Michael S Wright
- Title
- Managing Employee
- Phone
- (505) 842-5460
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
4801 Lang Ave NE
Suite 200a
Albuquerque, NM 87109-4474
Mailing address
3544 E 17TH St
Suite 201
Ammon, ID 83406-6911
Phone (208) 524-0685
National Provider Directory
National Provider DirectoryLocations
4801 Lang Ave NE
Ste 200A
Albuquerque, NM 87109
Phone (505) 842-5460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443484800000",
"number": "1386014769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3544 E 17TH ST",
"address_2": "SUITE 201",
"city": "AMMON",
"state": "ID",
"postal_code": "834066911",
"telephone_number": "208-524-0685",
"fax_number": "208-524-0686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 LANG AVE NE",
"address_2": "SUITE 200A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094474",
"telephone_number": "505-842-5460",
"fax_number": "505-842-5466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NM 01 PALLIATIVE CARE SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-29",
"last_updated": "2015-09-29",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MANAGING EMPLOYEE",
"authorized_official_telephone_number": "505-842-5460"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.