Senior Wellness Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SENIOR WELLNESS HOMECARE LLC

Doing business as

Senior Wellness Homecare

Practice address

1005 21St St SE Unit B1
Rio Rancho, NM 87124-4030

Phone

(505) 359-3586

NPI assigned

Mar 8, 2024

Last updated

Mar 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Katrina Maye Eugenio Dividina, RNNPI 1265062681

Title

Owner

Phone

(928) 255-3684

Specialties & licenses 1

Addresses

Other names 1

• Senior Wellness Homecare Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katrina Maye Eugenio Dividina, RN

  • Emergency Registered Nurse
  • Gallup, NM
  • NPI 1265062681
  NPD Authorized official

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1396503801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 RIO RANCHO BLVD SE STE 485",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241006",
            "telephone_number": "928-255-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 21ST ST SE UNIT B1",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244030",
            "telephone_number": "505-359-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR WELLNESS HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "DIVIDINA",
        "authorized_official_first_name": "KATRINA MAYE",
        "authorized_official_middle_name": "EUGENIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-255-3684",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Wellness Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jo Ann B Selgado, PHARMD
• Amber Kristie Sena, LMT
• Brittany Sena, HHP, FMP
• Amber Senasack, MT22006
• Senior Services LLC (Senior Home Care)
• Seniorcare, LLC
• Valerie Sepulveda
• Serpentine Pathways LLC
• Shadow Mountain Recovery LLC. (Shadow Mountain Recovery, Albuquerque)
• Shadow Mountain Recovery LLC.

• In Home Supportive Care Agency in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• In Home Supportive Care Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.