Organization Active NPI

New Mexico Homecare Services

  • Durable Medical Equipment & Medical Supplies
  • Albuquerque, NM
National Provider Identifier
1629196878
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NEW MEXICO HOMECARE SERVICES
Practice address
8402 La Palomita Rd NE
Albuquerque, NM 87111-4516
Phone
(505) 296-0986
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Laurence A. Rivera Sr.
Title
Owner
Phone
(505) 296-0986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

8402 La Palomita Rd NE
Albuquerque, NM 87111-4516

Mailing address

8402 La Palomita Rd NE
Albuquerque, NM 87111-4516

Other identifiers 1

IdentifierTypeStateIssuer
000A6856MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1629196878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8402 LA PALOMITA RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871114516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8402 LA PALOMITA RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871114516",
            "telephone_number": "505-296-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO HOMECARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-296-0986",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000A6856",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.