Active NPI
Roadrunner Nursing Care LLC
- Nursing Care Agency
- Corrales, NM
National Provider Identifier
1679331698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- ROADRUNNER NURSING CARE LLC
- Practice address
- 2469 Corrales Rd Ste a
Corrales, NM 87048-9147 - Phone
- (505) 737-8213
- Fax
- (505) 508-1514
- NPI assigned
- Mar 13, 2024
- 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
- Jennifer Keck, RN
- Title
- Owner/Administrator
- Phone
- (505) 321-7295
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
2469 Corrales Rd Ste a
Corrales, NM 87048-9147
Mailing address
2469 Corrales Rd Ste a
Corrales, NM 87048-9147
Phone (505) 321-7295
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710288000000",
"number": "1679331698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2469 CORRALES RD STE A",
"city": "CORRALES",
"state": "NM",
"postal_code": "870489147",
"telephone_number": "505-321-7295",
"fax_number": "505-508-1514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2469 CORRALES RD STE A",
"city": "CORRALES",
"state": "NM",
"postal_code": "870489147",
"telephone_number": "505-737-8213",
"fax_number": "505-508-1514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROADRUNNER NURSING CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-13",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A",
"authorized_official_last_name": "KECK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "505-321-7295",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corrales, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.