Active NPI
New Mexico Homecare Services
- Durable Medical Equipment & Medical Supplies
- Albuquerque, NM
National Provider Identifier
1629196878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000A6856 | Medicaid | NM |
National Provider Directory
National Provider DirectoryNPI 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
- New Mexico Gynecology Consultants, PC
- New Mexico Health Care Clinicians Inc.
- New Mexico Health Care Clinicians LLC
- New Mexico Health Connections
- New Mexico Heart Institute, LLC
- New Mexico Homecare, LLC
- New Mexico Imaging and Wellness
- New Mexico Medical Diagnostics LLC
- New Mexico Medical Specialists PC
- New Mexico Migraine Clinic LLC
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.