Active NPI
Morningstar Personal Care
- In Home Supportive Care Agency
- Las Vegas, NM
National Provider Identifier
1669763066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 80586384
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80586384 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
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.