Organization Active NPI

New Mexico Consumer Direct Personal Care, LLC

  • Home Health Agency
  • Albuquerque, NM
National Provider Identifier
1740376292
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
22554254MedicaidNM
01926250MedicaidNM
55821065MedicaidNM
84385359MedicaidNM
57575533MedicaidNM

Other names 1

  • Consumer Direct Care Network New Mexico Doing business as

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"
        }
    ]
}

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 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.

Verify at the official NPI Registry.