Organization Active NPI

Lifecare Health Services LLC

  • Family Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1902975436
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R27286 Issued in NM
Legal business name
LIFECARE HEALTH SERVICES LLC
Practice address
130 Siringo Rd
Suite 201
Santa Fe, NM 87505-5863
Phone
(505) 989-3236
Fax
(505) 989-5079
NPI assigned
Nov 7, 2006
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. F. Elaine Montano, CNP
Title
Owner
Phone
(505) 989-3236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X R27286 NM Primary

Addresses

Primary practice location

130 Siringo Rd
Suite 201
Santa Fe, NM 87505-5863

Mailing address

130 Siringo Rd
Suite 201
Santa Fe, NM 87505-5863
Phone (505) 989-3236

Other identifiers 2

IdentifierTypeStateIssuer
48728527MedicaidNM
1679553457OtherNMPERSONAL NPI

National Provider Directory

National Provider Directory

Locations

624 University Ave
Ste 600
Las Vegas, NM 87701
Phone (505) 426-0700

130 Siringo Rd
Ste 201
Santa Fe, NM 87505
Phone (505) 470-1945

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902975436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SIRINGO RD",
            "address_2": "SUITE 201",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055863",
            "telephone_number": "505-989-3236",
            "fax_number": "505-989-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SIRINGO RD",
            "address_2": "SUITE 201",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055863",
            "telephone_number": "505-989-3236",
            "fax_number": "505-989-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTANO",
        "authorized_official_first_name": "F.",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-989-3236",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R27286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48728527",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1679553457",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, 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.