NPIMap

Organization Active NPI

Casa de Shalom, LLC

  • Community Based Hospice Care Agency
  • Rio Rancho, NM
National Provider Identifier
1740536283
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
1T3408 Issued in NM
Legal business name
CASA DE SHALOM, LLC
Doing business as
Vision Hospice
Practice address
4102 Las Cimbras CT SE
Rio Rancho, NM 87124-6908
Phone
(505) 715-9649
Fax
(505) 994-9430
NPI assigned
Aug 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Authorized official

Name
Mr. Adam Stanley
Title
Administrator
Phone
(505) 715-9649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 1T3408 NM Primary

Addresses

Primary practice location

4102 Las Cimbras CT SE
Rio Rancho, NM 87124-6908

Mailing address

4102 Las Cimbras CT SE
Rio Rancho, NM 87124-6908
Phone (505) 715-9649

Other names 1

  • Vision Hospice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Casa de Shalom LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1740536283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 LAS CIMBRAS CT SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246908",
            "telephone_number": "505-715-9649",
            "fax_number": "505-994-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 LAS CIMBRAS CT SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246908",
            "telephone_number": "505-715-9649",
            "fax_number": "505-994-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA DE SHALOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "505-715-9649",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NM",
            "license": "1T3408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.