Professional Home Health Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

6275 Issued in NM

Legal business name

PROFESSIONAL HOME HEALTH CARE, INC

Practice address

10 Calle Medico
Santa Fe, NM 87505-4724

Phone

(505) 982-8581

Fax

(505) 982-6301

NPI assigned

Aug 7, 2007

Last updated

Jan 20, 2025By 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

Mr. Debbie M Conway, RN

Title

Owner/Ceo

Phone

(505) 982-8581

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508057209. Details of each certification follow.

• CCN 327108 Home health agency · Active · Details

Home health agency certification: CCN 327108

Legal name

PROFESSIONAL HOME HEALTH CARE, INC

Doing business as

PROFESSIONAL HOME HEALTH CARE, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 12, 1993

Last certification

Jun 6, 2019

Ownership / control type

Proprietary

Organization structure

CorporationNon-profit

Incorporated

Apr 4, 1991 in NM

Enrollment address

10 Calle Medico
Santa Fe, NM 87505-4724
HHA Branch

Listed as

Professional Home Health Care, Inc.CCN 327108 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

May 12, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jasmin U Breitung, M.D

  • Internal Medicine Physician
  • Las Vegas, NM
  • NPI 1891726048

  Home health agency

  Care Compare affiliation
• G. Michael Lopez, M.D.

  • Internal Medicine Physician
  • Las Vegas, NM
  • NPI 1003973397

  Home health agency

  Care Compare affiliation
• Jesus Tafoya, M.D.

  • Family Medicine Physician
  • Las Vegas, NM
  • NPI 1992118145

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1508057209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CALLE MEDICO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054724",
            "telephone_number": "505-982-8581",
            "fax_number": "505-982-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE MEDICO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054724",
            "telephone_number": "505-982-8581",
            "fax_number": "505-982-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "505-982-8581",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "6275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6275",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65776241",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Prochorchik
• Christina Procter, LMSW
• Professional Dental Care of Northern New Mexico I Professional
• Professional Dental Care PLLC
• Professional Home Health Care de Santa Fe Y Los Alamos
• Tides Profeta
• Jennifer Prosser, MD
• Lauralyn Ann Pryor, LPCC
• Psychiatric and Mental Health Collaborative of New Mexico
• Psychotherapy & Pastoral Counseling Associates

• Home Health Agency in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Home Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.