Organization Active NPI

Quantum Home Care of New Mexico LLC

  • Home Health Agency
  • Las Cruces, NM
National Provider Identifier
1659398303
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
3220 Issued in NM
Legal business name
QUANTUM HOME CARE OF NEW MEXICO LLC
Practice address
151 S Walnut St
Suite B-13
Las Cruces, NM 88001-2605
Phone
(575) 525-2273
Fax
(575) 527-1382
NPI assigned
Jul 17, 2006
Last updated
Mar 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Mr. Carlos Zuniga, BSN, RN
Title
Administrator/Ceo
Phone
(575) 525-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 3220 NM Primary

Addresses

Primary practice location

151 S Walnut St
Suite B-13
Las Cruces, NM 88001-2605

Mailing address

151 S Walnut St
Suite B-13
Las Cruces, NM 88001-2605
Phone (575) 525-2273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051003000370 NM Part A Provider - Home Health Agency 7214962893 Practice locations: Las Cruces, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659398303. Details of each certification follow.

Home health agency certification: CCN 327197

Legal name
QUANTUM HOME CARE OF NEW MEXICO LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 14, 2006
Last certification
Jun 22, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 1, 2005 in NM
Enrollment address
505 S Main St
Ste 148
Las Cruces, NM 88001-1200

Care Compare: Home health agency

Medicare Care Compare
Listed as
Grand View Health at HomeCCN 327197 · All quality measures
Ownership
Proprietary
Certified
Apr 14, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

151 S Walnut St
Ste B13
Las Cruces, NM 88001
Phone (575) 525-2273

505 S Main St
Ste 148
Las Cruces, NM 88001
Phone (575) 524-2410

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Carlos Zuniga Individual 5% Or Greater Direct Ownership Interest Aug 1, 2005
Corporate Officer Aug 1, 2005
Corporate Director Aug 1, 2005
Operational/Managerial Control Aug 1, 2005
Julie Ann Zuniga Individual 5% Or Greater Direct Ownership Interest Aug 1, 2005

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1659398303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 S WALNUT ST",
            "address_2": "SUITE B-13",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880012605",
            "telephone_number": "575-525-2273",
            "fax_number": "575-527-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S WALNUT ST",
            "address_2": "SUITE B-13",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880012605",
            "telephone_number": "575-525-2273",
            "fax_number": "575-527-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM HOME CARE OF NEW MEXICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "ZUNIGA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "575-525-2273",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "3220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.