Organization Active NPI

Advanced Healthcare LLC

  • Home Health Agency
  • Santa Teresa, NM
National Provider Identifier
1427558345
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ADVANCED HEALTHCARE LLC
Practice address
101 Livingston Loop Ste 5
Santa Teresa, NM 88008-9753
Phone
(915) 503-0481
NPI assigned
Feb 16, 2018
Last updated
Feb 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Authorized official

Name
Mayra Erendira Gaona
Title
Administrator
Phone
(915) 503-0481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

101 Livingston Loop Ste 5
Santa Teresa, NM 88008-9753

Mailing address

101 Livingston Loop Ste 5
Santa Teresa, NM 88008-9753
Phone (915) 503-0481

National Provider Directory

National Provider Directory

Locations

101 Livingston Loop
Ste 5
Santa Teresa, NM 88008
Phone (915) 494-1819

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1427558345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LIVINGSTON LOOP STE 5",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089753",
            "telephone_number": "915-503-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LIVINGSTON LOOP STE 5",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089753",
            "telephone_number": "915-503-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "GAONA",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_middle_name": "ERENDIRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "915-503-0481"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Teresa, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.