Positive Outcomes, Inc.
Organization Active NPI Personal Care Attendant · Socorro, NM
NPI 1770624348 · NPPES record last updated May 18, 2026
Key facts
- NPI
- 1770624348
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Legal business name
- POSITIVE OUTCOMES, INC.
- Practice address
- 1115 N California St
Socorro, NM 87801-4265 - Phone
- (575) 838-7630
- Fax
- (575) 838-3956
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Carmen Marquez
- Title
- Director
- Phone
- (575) 838-7633
Practitioners 5
-
Chad R Fait, DPT
-
Rachel Y Maestas, PT, DPT
-
Tara K Jaramillo, SLP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2203417 | Positive Outcomes Inc | Certificate of waiver | Dec 2, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040302000853 | NM | Part B Supplier - Clinic/Group Practice | 1052208212 |
Receives reassigned benefits from 4 practitioners Practice locations: Socorro, NM |
National Provider Directory
Locations
1115 N California St
Ste B
Socorro, NM 87801
1115 N California St
Socorro, NM 87801
Phone (505) 838-1100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Clinical Child & Adolescent Psychologist |
103TC2200X | |||
| Home Modifications Contractor |
171WH0202X | NM | ||
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X | 006549 | NM | |
| Speech-Language Pathologist |
235Z00000X | 1487 | NM | |
| Personal Care Attendant |
3747P1801X | Yes | ||
| Child Physical Disabilities Respite Care | 385HR2065X | NM |
Addresses
Primary practice location
1115 N California St
Socorro, NM 87801-4265
Mailing address
PO Box 642
1115 North California Street
Socorro, NM 87801-0642
Phone (575) 838-7630
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88722520 | Medicaid | NM | |
| 800521047 | Medicaid | NM | |
| 00P3051 | Medicaid | NM | |
| 69676577 | Medicaid | NM | |
| D4005 | Medicaid | NM |
Other providers in Socorro, NM
- Daniel John Pelak
- Josefina Perez
- Kaitlyn Rose Pino
- Susan Plecha
- Berta Alicia Portillo
- Cory Michael Pracht
- Presbyterian Healthcare Services
- Presbyterian Healthcare Services
- Presbyterian Healthcare Services
- Presbyterian Healthcare Services
All providers in Socorro, NM · Personal Care Attendant in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.