Active NPI
New Mexico Consumer Direct Personal Care, LLC
- Home Health Agency
- Albuquerque, NM
National Provider Identifier
1740376292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- NEW MEXICO CONSUMER DIRECT PERSONAL CARE, LLC
- Doing business as
- Consumer Direct Care Network New Mexico
- Practice address
- 8220 San Pedro Dr NE Ste 400
Albuquerque, NM 87113-2476 - Phone
- (505) 884-3116
- NPI assigned
- Oct 4, 2006
- Organization subpart
- Yes
- Parent organization
- CONSUMER DIRECT HOLDINGS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Holly Stephens
- Title
- Legal Manager
- Phone
- (406) 532-1929
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
8220 San Pedro Dr NE Ste 400
Albuquerque, NM 87113-2476
Mailing address
100 Consumer Direct Way
Missoula, MT 59808-5037
Phone (406) 532-1900
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22554254 | Medicaid | NM | |
| 01926250 | Medicaid | NM | |
| 55821065 | Medicaid | NM | |
| 84385359 | Medicaid | NM | |
| 57575533 | Medicaid | NM |
Other names 1
- Consumer Direct Care Network New Mexico
National Provider Directory
National Provider Directory- Part of
- Consumer Direct Holdings Inc
Locations
1120 Pennsylvania St NE
Albuquerque, NM 87110
8220 San Pedro Dr NE
Ste 400
Albuquerque, NM 87113
Phone (505) 884-3116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755561600000",
"number": "1740376292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CONSUMER DIRECT WAY",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598085037",
"telephone_number": "406-532-1900",
"fax_number": "406-532-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8220 SAN PEDRO DR NE STE 400",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871132476",
"telephone_number": "505-884-3116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW MEXICO CONSUMER DIRECT PERSONAL CARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CONSUMER DIRECT HOLDINGS, INC.",
"enumeration_date": "2006-10-04",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "HOLLY",
"authorized_official_title_or_position": "LEGAL MANAGER",
"authorized_official_telephone_number": "406-532-1929"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22554254",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01926250",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55821065",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "84385359",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "57575533",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Consumer Direct Care Network New Mexico",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.