NPIMap

Organization Active NPI

Isleta Elderly Services

  • Home Health Agency
  • Isleta, NM
National Provider Identifier
1770708174
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ISLETA ELDERLY SERVICES
Practice address
Tribal Rd. 40 BLDG. 70
Isleta, NM 87022
Phone
(505) 869-6661
Fax
(505) 869-2736
NPI assigned
Apr 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kathy Black, M.S.
Title
Director
Phone
(505) 869-6661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

Tribal Rd. 40 BLDG. 70
Isleta, NM 87022

Mailing address

PO Box 1270
Isleta, NM 87022-1270
Phone (505) 869-6661

Other names 1

  • Isleta PCO Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Pueblo of Isleta9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770708174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1270",
            "city": "ISLETA",
            "state": "NM",
            "postal_code": "870221270",
            "telephone_number": "505-869-6661",
            "fax_number": "505-869-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRIBAL RD. 40 BLDG. 70",
            "city": "ISLETA",
            "state": "NM",
            "postal_code": "87022",
            "telephone_number": "505-869-6661",
            "fax_number": "505-869-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLETA ELDERLY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-869-6661",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Isleta PCO Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Isleta, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.