Individual provider Active NPI

Deondralique Greene, NRCMA,CPT

  • In Home Supportive Care Agency
  • Albuquerque, NM
National Provider Identifier
1396524153
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
3321 Candelaria Rd NE # 300
Albuquerque, NM 87107-1966
Phone
(800) 375-1066
NPI assigned
Sep 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3321 Candelaria Rd NE # 300
Albuquerque, NM 87107-1966

Mailing address

PO Box 330331
Fort Worth, TX 76163-0331
Phone (800) 375-1066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Gold Home Healthcare Services In Home Supportive Care Current Accepting new patients
Purpose of Life Homecare LLC Home Health Current Accepting new patients
Purpose of Life Homecare In Home Supportive Care CurrentSince Nov 7, 2025 Accepting new patients
Purpose of Life Homecare Montana In Home Supportive Care PastSince Oct 22, 2023 Accepting new patients

Locations

6300 Riverside Plaza Ln NW
Ste 118
Albuquerque, NM 87120
Phone (505) 477-0242

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1396524153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 330331",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761630331",
            "telephone_number": "800-375-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 CANDELARIA RD NE # 300",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071966",
            "telephone_number": "800-375-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "DEONDRALIQUE",
        "name_prefix": "Mrs.",
        "credential": "NRCMA,CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "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 May 18, 2026; 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.