Active NPI
Brad James Condon
- In Home Supportive Care Agency
- Albuquerque, NM
National Provider Identifier
1679279574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 3009 Louisiana Blvd NE Ste C
Albuquerque, NM 87110-2753 - Phone
- (505) 521-2100
- NPI assigned
- Feb 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NM | Primary |
Addresses
Primary practice location
3009 Louisiana Blvd NE Ste C
Albuquerque, NM 87110-2753
Mailing address
6601 Natalie Ave NE
Albuquerque, NM 87110-1311
Phone (505) 715-3331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Home Care of NM LLC | In Home Supportive Care | Current | Accepting new patients |
Locations
3009 Louisiana Blvd NE
Ste C
Albuquerque, NM 87110
Phone (505) 363-0250
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Albuquerque, NM
- NPI 1871282442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1679279574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 NATALIE AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871101311",
"telephone_number": "505-715-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 LOUISIANA BLVD NE STE C",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871102753",
"telephone_number": "505-521-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDON",
"first_name": "BRAD",
"middle_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-01",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.