Su Casa Health Care Services of New Mexico LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SU CASA HEALTH CARE SERVICES OF NEW MEXICO LLC

Doing business as

Su Casa Health Care of New Mexico

Practice address

5290 McNutt Rd
Ste. 105
Santa Teresa, NM 88008-9645

Phone

(575) 589-0819

Fax

(575) 589-1476

NPI assigned

Jul 22, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Elva Brown, RN

Title

Owner

Phone

(432) 553-0279

Specialties & licenses 1

Addresses

Other names 1

• Su Casa Health Care of New Mexico Doing business as

Locations

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1750511986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 MCNUTT RD",
            "address_2": "STE 105",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "880089648",
            "telephone_number": "575-589-0819",
            "fax_number": "575-589-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 MCNUTT RD",
            "address_2": "STE. 105",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089645",
            "telephone_number": "575-589-0819",
            "fax_number": "575-589-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SU CASA HEALTH CARE SERVICES OF NEW MEXICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ELVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-553-0279",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Su Casa Health Care of New Mexico",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ana Soto
• South West Medical Transport LLC
• Southwest Psychiatry PLLC
• Elvia Miroslava Stevens Bautista
• STF Dental
• Sweet Bee Services LLC
• Tanya V Marin, PC
• Michelle Te Velde
• Jasmine Desiree Tejada
• Melissa Rae Tena

• Home Health Agency in Santa Teresa, NM
• Providers in Santa Teresa, 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 Jul 24, 2009; 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.