Organization Active NPI

Ideal Home Care, Inc.

  • In Home Supportive Care Agency
  • Espanola, NM
National Provider Identifier
1497193379
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
IDEAL HOME CARE, INC.
Practice address
706 La Joya St
Espanola, NM 87532-2877
Phone
(505) 747-4440
NPI assigned
Jun 12, 2013
Last updated
Jul 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Ms. Reina Coriz
Title
Vice-President
Phone
(505) 747-4440

Specialties & licenses 1

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

Addresses

Primary practice location

706 La Joya St
Espanola, NM 87532-2877

Mailing address

706 La Joya St
Espanola, NM 87532-2877
Phone (505) 747-4440

National Provider Directory

National Provider Directory
Tax ID family
Ideal Home Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

706 La Joya St
Espanola, NM 87532
Phone (505) 747-4440

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1497193379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 LA JOYA ST",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322877",
            "telephone_number": "505-747-4440",
            "fax_number": "505-747-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 LA JOYA ST",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322877",
            "telephone_number": "505-747-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "CORIZ",
        "authorized_official_first_name": "REINA",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "505-747-4440",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Espanola, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.