Organization Active NPI

Morningstar Personal Care

  • In Home Supportive Care Agency
  • Las Vegas, NM
National Provider Identifier
1669763066
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
80586384 Issued in NM
Legal business name
MORNINGSTAR PERSONAL CARE
Practice address
1822 7TH Street
Las Vegas, NM 87701
Phone
(505) 426-1113
Fax
(505) 426-1114
NPI assigned
Apr 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Mrs. Naomi T. Lucero
Title
President
Phone
(505) 426-1113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 80586384 NM Primary

Addresses

Primary practice location

1822 7TH Street
Las Vegas, NM 87701

Mailing address

PO Box 3140
Las Vegas, NM 87701-4954
Phone (505) 426-1113

Other identifiers 1

IdentifierTypeStateIssuer
80586384MedicaidNM

National Provider Directory

National Provider Directory

Locations

1822 7th St
Las Vegas, NM 87701
Phone (505) 426-1113

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1669763066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3140",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014954",
            "telephone_number": "505-426-1113",
            "fax_number": "505-426-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 7TH STREET",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "87701",
            "telephone_number": "505-426-1113",
            "fax_number": "505-426-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSTAR PERSONAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "LUCERO",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-426-1113",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NM",
            "license": "80586384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80586384",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.