Organization Active NPI

Homebound Palliative Care

  • Geriatric Medicine (Family Medicine) Physician
  • Albuquerque, NM
National Provider Identifier
1851976989
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
HOMEBOUND PALLIATIVE CARE
Practice address
3223 Tennessee St NE
Albuquerque, NM 87110-2434
Phone
(505) 304-4248
Fax
(505) 212-0750
NPI assigned
Mar 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Authorized official

Name
Rodica Carmen Brown, PA-CNPI 1912003583
Title
Physician Assistant
Phone
(505) 304-4248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

3223 Tennessee St NE
Albuquerque, NM 87110-2434

Mailing address

3223 Tennessee St NE
Albuquerque, NM 87110-2434
Phone (505) 304-4248

National Provider Directory

National Provider Directory

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": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1851976989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 TENNESSEE ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871102434",
            "telephone_number": "505-304-4248",
            "fax_number": "505-212-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 TENNESSEE ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871102434",
            "telephone_number": "505-304-4248",
            "fax_number": "505-212-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEBOUND PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RODICA",
        "authorized_official_middle_name": "CARMEN",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "505-304-4248",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.