NPIMap

Organization Active NPI

Basin Coordinated Healthcare,Inc

  • Personal Care Attendant
  • Farmington, NM
National Provider Identifier
1861466732
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
6635 Issued in NM
Legal business name
BASIN COORDINATED HEALTHCARE,INC
Practice address
210 N Orchard Ave
Farmington, NM 87401-6225
Phone
(505) 324-8269
Fax
(505) 324-8387
NPI assigned
Feb 15, 2006
Last updated
Jul 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Mary Nelson
Title
Administrator
Phone
(505) 324-8269

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 6635 NM
Home Health Agency 251E00000X 6635 NM
Nursing Care Agency 251J00000X 6635 NM
Personal Care Attendant 3747P1801X 6635 NM Primary

Addresses

Primary practice location

210 N Orchard Ave
Farmington, NM 87401-6225

Mailing address

210 N Orchard Ave
Farmington, NM 87401-6225
Phone (505) 324-8269

Other identifiers 3

IdentifierTypeStateIssuer
N2631MedicaidNM
Z8426MedicaidNM
D2337MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1861466732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N ORCHARD AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016225",
            "telephone_number": "505-324-8269",
            "fax_number": "505-324-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N ORCHARD AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016225",
            "telephone_number": "505-324-8269",
            "fax_number": "505-324-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIN COORDINATED HEALTHCARE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "505-324-8269"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "6635",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "6635",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NM",
            "license": "6635",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NM",
            "license": "6635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N2631",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z8426",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D2337",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.