Organization Active NPI

NM 01 Palliative Care Services PLLC

  • In Home Supportive Care Agency
  • Albuquerque, NM
National Provider Identifier
1386014769
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Sep 29, 2015

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)CodeLicenseStatePrimary
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 Directory

Locations

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": []
}

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 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.

Verify at the official NPI Registry.