Active NPI
Mountain Shadows Home Care Services, Inc
- Home Health Agency
- Las Cruces, NM
National Provider Identifier
1619011889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 6050
- Legal business name
- MOUNTAIN SHADOWS HOME CARE SERVICES, INC
- Practice address
- 800 N Telshor Blvd
Ste. B
Las Cruces, NM 88011-8251 - Phone
- (505) 521-1366
- Fax
- (505) 521-4772
- NPI assigned
- Feb 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Liza E. Barbee
- Title
- Executive Director
- Phone
- (575) 541-3962
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 6050 | NM | Primary |
Addresses
Primary practice location
800 N Telshor Blvd
Ste. B
Las Cruces, NM 88011-8251
Mailing address
800 N Telshor Blvd
Ste. B
Las Cruces, NM 88011-8251
Phone (505) 521-1366
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0706 | Medicaid | NM | |
| 74452 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
800 N Telshor Blvd
Ste B
Las Cruces, NM 88011
Phone (505) 521-1366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470096000000",
"number": "1619011889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N TELSHOR BLVD",
"address_2": "STE. B",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118251",
"telephone_number": "505-521-1366",
"fax_number": "505-521-4772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N TELSHOR BLVD",
"address_2": "STE. B",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118251",
"telephone_number": "505-521-1366",
"fax_number": "505-521-4772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN SHADOWS HOME CARE SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-19",
"last_updated": "2016-08-02",
"status": "A",
"authorized_official_last_name": "BARBEE",
"authorized_official_first_name": "LIZA",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "575-541-3962"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NM",
"license": "6050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D0706",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74452",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.