Organization Active NPI

Nizhoni Professional Home Care

  • Home Health Agency
  • Gallup, NM
National Provider Identifier
1760612717
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NIZHONI PROFESSIONAL HOME CARE
Practice address
1303 Metro Dr
Gallup, NM 87301
Phone
(505) 863-9199
Fax
(505) 863-9219
NPI assigned
Jul 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Mrs. Theresa Mae Warner
Title
President
Phone
(505) 863-9199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NM Primary

Addresses

Primary practice location

1303 Metro Dr
Gallup, NM 87301

Mailing address

1303 Metro Dr
Gallup, NM 87301
Phone (505) 863-9199

National Provider Directory

National Provider Directory

Locations

1303 Metro Ave
Gallup, NM 87301
Phone (505) 863-9199

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1760612717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 METRO DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "87301",
            "telephone_number": "505-863-9199",
            "fax_number": "505-863-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 METRO DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "87301",
            "telephone_number": "505-863-9199",
            "fax_number": "505-863-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIZHONI PROFESSIONAL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-863-9199",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallup, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.