Organization Active NPI

Valencia Healing at Home LLC

  • Home Health Agency
  • Santa Teresa, NM
National Provider Identifier
1578177887
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VALENCIA HEALING AT HOME LLC
Practice address
101 Livingston Loop Ste C4
Santa Teresa, NM 88008-9753
Phone
(575) 332-9396
Fax
(575) 332-9399
NPI assigned
Sep 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Argelia Seanez
Title
Alternate Administrator
Phone
(575) 332-9396

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

101 Livingston Loop Ste C4
Santa Teresa, NM 88008-9753

Mailing address

101 Livingston Loop Ste C4
Santa Teresa, NM 88008-9753
Phone (575) 332-9396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221013001802 NM Part A Provider - Home Health Agency 6305212564 Practice locations: Santa Teresa, NM

Home health agency certification: CCN 327810

Legal name
VALENCIA HEALING AT HOME LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 6, 2024
Last certification
Jan 11, 2024
Organization structure
LLCProprietary
Incorporated
Nov 4, 2014 in NM
Enrollment address
101 Livingston Dr BLDG C
Suite 4
Santa Teresa, NM 88008
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Valencia Healing at Home LLCCCN 327810 · All quality measures
Ownership
-
Certified
Feb 6, 2024
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2280049Valencia Healing at Home LLC101 Livingston Loop C-4, Santa Teresa, NM 88008Certificate of waiverApr 11, 2027

National Provider Directory

National Provider Directory

Locations

101 Livingston Loop
Ste C4
Santa Teresa, NM 88008
Phone (915) 833-7797

101 Livingston Loop
Ste 4
Santa Teresa, NM 88008
Phone (575) 332-9396

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Julissa Gloria Seanez Individual 5% Or Greater Direct Ownership Interest Nov 4, 2014 33.3%
Corporate OfficerPresident Nov 4, 2014 33.3%
Corporate DirectorPresident Nov 4, 2014 33.3%
W-2 Managing EmployeePresident Nov 4, 2014 33.3%
Operational/Managerial ControlPresident Nov 4, 2014 33.3%
Argelia Seanez Individual 5% Or Greater Direct Ownership Interest Nov 4, 2014 33.4%
Corporate OfficerVP/Treasurer Nov 4, 2014 33.4%
Corporate DirectorVP/Treasurer Nov 4, 2014 33.4%
W-2 Managing EmployeeVP/Treasurer Nov 4, 2014 33.4%
Richard Seanez Individual 5% Or Greater Direct Ownership Interest Nov 4, 2014 33.3%
Corporate OfficerSecretary Nov 4, 2014 33.3%
Corporate DirectorSecretary Nov 4, 2014 33.3%
W-2 Managing EmployeeSecretary Nov 4, 2014 33.3%
Operational/Managerial ControlSecretary Nov 4, 2014 33.3%

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1578177887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LIVINGSTON LOOP STE C4",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089753",
            "telephone_number": "575-332-9396",
            "fax_number": "575-332-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LIVINGSTON LOOP STE C4",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089753",
            "telephone_number": "575-332-9396",
            "fax_number": "575-332-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENCIA HEALING AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "SEANEZ",
        "authorized_official_first_name": "ARGELIA",
        "authorized_official_title_or_position": "ALTERNATE ADMINISTRATOR",
        "authorized_official_telephone_number": "575-332-9396"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Teresa, NM

Sources for this page

Verify at the official NPI Registry.