Thoreau Navajo Outreach

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

684 Issued in NM

Legal business name

THOREAU NAVAJO OUTREACH

Practice address

31 First Street
Thoreau, NM 87323-0547

Phone

(505) 862-7415

Fax

(505) 862-7635

NPI assigned

May 14, 2009

Last updated

Apr 24, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

THOREAU NAVAJO OUTREACHAs reported in NPPES

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

Authorized official

Name

Ms. Clara Toledo

Title

Director

Phone

(505) 862-7415

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Thoreau Navajo Outreach

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1861626145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "THOREAU",
            "state": "NM",
            "postal_code": "873230547",
            "telephone_number": "505-862-7415",
            "fax_number": "505-862-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 FIRST STREET",
            "city": "THOREAU",
            "state": "NM",
            "postal_code": "873230547",
            "telephone_number": "505-862-7415",
            "fax_number": "505-862-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOREAU NAVAJO OUTREACH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THOREAU NAVAJO OUTREACH",
        "enumeration_date": "2009-05-14",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "TOLEDO",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-862-7415",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55956556",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Presbyterian Medical Services (Western NM Medical Group Thoreau)
• James Sandoval, NONE
• Michelle June Storm, OTR
• Thoreau Ambulance Service
• Thoreau Clinic
• Robinson Tom, COUNSELOR

• Home Health Agency in Thoreau, NM
• Providers in Thoreau, NM by specialty
• Home Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.