Thi of New Mexico at En Su Casa LLC

Organization Active NPI Personal Care Attendant · Albuquerque, NM

NPI 1760699334 · NPPES record last updated Mar 10, 2008

Key facts

NPI
1760699334
Entity type
Organization (NPI type 2)
Primary specialty
Personal Care Attendant 3747P1801X
Legal business name
THI OF NEW MEXICO AT EN SU CASA LLC
Practice address
8820 Horizon Blvd NE
Albuquerque, NM 87113-1689
Phone
(505) 823-1885
NPI assigned
May 16, 2007
Organization subpart
No

Authorized official

Name
Josie Pebsworth
Title
President
Phone
(505) 522-7000

Corporate family (same tax ID) 3

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

National Provider Directory

Tax ID family
En Su Casa Personal Care (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant
Group: 193400000X SINGLE SPECIALTY GROUP
3747P1801X Yes

Addresses

Primary practice location

8820 Horizon Blvd NE
Albuquerque, NM 87113-1689

Mailing address

930 Ridgebrook Rd
Sparks, MD 21152-9390

Other identifiers

IdentifierTypeStateIssuer
24273881MedicaidNM

Other names

  • En Su Casa Personal Care Doing business as

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Personal Care Attendant in New Mexico

Sources for this page

Verify at the official NPI Registry.