Footprints Home Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

6214 Issued in NM

Legal business name

FOOTPRINTS HOME CARE, INC

Practice address

5941-A Jefferson St NE
Albuquerque, NM 87109

Phone

(505) 883-4100

Fax

(505) 889-9400

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Brian Fletcher

Title

President and Ceo

Phone

(505) 503-2742

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Cowan Clinic, Inc Former legal business name

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1528108271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5941-A JEFFERSON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-883-4100",
            "fax_number": "505-889-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5941-A JEFFERSON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-883-4100",
            "fax_number": "505-889-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTPRINTS HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "505-503-2742",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "6214",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NM",
            "license": "6214",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96917",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D0289",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cowan Clinic, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Santana M Fontana, MD
• Kelsey Fontenot, MS CCC-SLP
• Raquel F Fontes, LMT
• Devon Foose
• Foot & Ankle Specialists of New Mexico PC
• Footprints Ministry
• William J Foppert
• Mari Forbes, MD
• Courtney Forbis, M.D.
• Kwyn Forbregd, PHARMD

• Home Health Agency in Albuquerque, NM
• Providers in Albuquerque, 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 Jun 23, 2014; 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.