Organization Active NPI

Roadrunner Nursing Care LLC

  • Nursing Care Agency
  • Corrales, NM
National Provider Identifier
1679331698
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
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

Updated by the provider on Mar 13, 2024

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.