Southwestern Private Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

6547 Issued in NM

Legal business name

SOUTHWESTERN PRIVATE SERVICES, INC.

Practice address

408 N Auburn Ave Ste B
Farmington, NM 87401-5816

Phone

(505) 326-6024

Fax

(505) 327-6923

NPI assigned

Mar 21, 2007

Last updated

Aug 22, 2020By 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

Ivy Snider, RN

Title

Vice President

Phone

(405) 359-2074

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Southwestern Private Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Southwestern Private Services D/B/a Southwestern Transportation

  • Non-emergency Medical Transport (VAN)
  • Farmington, NM
  • NPI 1649572454
  NPD tax ID
• Southwestern Private Services, Inc

  • Home Health Agency
  • Farmington, NM
  • NPI 1366568347
  NPD tax ID

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508981044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N AUBURN AVE STE B",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015816",
            "telephone_number": "505-326-6024",
            "fax_number": "505-327-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N AUBURN AVE STE B",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015816",
            "telephone_number": "505-326-6024",
            "fax_number": "505-327-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN PRIVATE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "405-359-2074",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "6547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B4365",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwest Sleep Inc
• Southwest Spine & Orthopedic Clinic PC
• Southwestern Home Health Care, Inc.
• Southwestern Private Services D/B/a Southwestern Transportation
• Southwestern Private Services, Inc
• Mathew Theron Southwick, P.A.-C.
• Minnie Ann Sparks, P.T.
• Jacquelyn Speake, LPCC
• Daryl Leroy Specht, DDS
• Special K Fitness, Inc.

• Home Health Agency in Farmington, NM
• Providers in Farmington, 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 Aug 22, 2020; 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.