NPIMap

Organization Active NPI

Southwest Home Care, LLC

  • Home Health Agency
  • Grants, NM
National Provider Identifier
1780025007
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
03-191409-00-8 Issued in NM
Legal business name
SOUTHWEST HOME CARE, LLC
Practice address
920 E Santa Fe Ave
Grants, NM 87020-2436
Phone
(505) 287-7472
Fax
(505) 287-7473
NPI assigned
Jul 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Mrs. Lakeitha C Burton
Title
Revenue Cycle Manager
Phone
(505) 539-5290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 03-191409-00-8 NM Primary

Addresses

Primary practice location

920 E Santa Fe Ave
Grants, NM 87020-2436

Mailing address

920 E Santa Fe Ave
Grants, NM 87020-2436
Phone (505) 287-7472

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lakeitha@allstarbillingservice.com Direct

National Provider Directory

National Provider Directory

Locations

920 E Santa Fe Ave
Grants, NM 87020
Phone (505) 287-7472

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1780025007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E SANTA FE AVE",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870202436",
            "telephone_number": "505-287-7472",
            "fax_number": "505-287-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E SANTA FE AVE",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870202436",
            "telephone_number": "505-287-7472",
            "fax_number": "505-287-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "LAKEITHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "505-539-5290",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "03-191409-00-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lakeitha@allstarbillingservice.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "920 E Santa Fe Ave",
            "city": "Grants",
            "state": "NM",
            "country_code": "US",
            "postal_code": "870202436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grants, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.