Mora Valley Community Health Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

6008 Issued in NM

Legal business name

MORA VALLEY COMMUNITY HEALTH SERVICES, INC

Doing business as

Mora Valley Community Health Services, Inc Cardid de San Antonio Home

Practice address

State Highway 518 Milemarker 26
Mora, NM 87732-0209

Phone

(575) 387-6078

Fax

(575) 387-2034

NPI assigned

Jan 4, 2006

Last updated

Oct 24, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lorraine French

Title

Office Manager Cardid de San Antoni

Phone

(575) 387-6078

Specialties & licenses 1

Addresses

Other names 1

• Mora Valley Community Health Services, Inc Cardid de San Antonio Home Doing business as

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1700864204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 209",
            "address_2": "STATE HWY 518 MM 26",
            "city": "MORA",
            "state": "NM",
            "postal_code": "877320209",
            "telephone_number": "575-387-5069",
            "fax_number": "575-387-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE HIGHWAY 518 MILEMARKER 26",
            "city": "MORA",
            "state": "NM",
            "postal_code": "877320209",
            "telephone_number": "575-387-6078",
            "fax_number": "575-387-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORA VALLEY COMMUNITY HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "FRENCH",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "OFFICE MANAGER CARDID DE SAN ANTONI",
        "authorized_official_telephone_number": "575-387-6078",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "6008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mora Valley Community Health Services, Inc Cardid de San Antonio Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Rose Martinez, FNP-BC
• Tyler E Martinez, DDS
• Mora Independent School
• Mora Valley Community Health Services
• Mora Valley Community Health Services Inc
• Mora Valley Community Health Services, Inc.
• Mora Valley Community Health Services, Inc.
• Northeast Regional Education Cooperative
• Oasis Therapy, LLC
• Sasankoti Mohan Ravi Prakash, DMD

• Home Health Agency in Mora, NM
• Providers in Mora, NM by specialty
• Home Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.