Active NPI
DJK Home Healthcare, LLC
- Home Health Agency
- Albuquerque, NM
National Provider Identifier
1922524834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DJK HOME HEALTHCARE, LLC
- Practice address
- 4600 A Montgomery Blvd NE
Suite a-101
Albuquerque, NM 87109-1218 - Phone
- (505) 881-0054
- Fax
- (808) 551-0878
- NPI assigned
- Aug 22, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer Hadfield
- Title
- Cfo
- Phone
- (214) 244-2757
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NM | Primary | |
| Nursing Care Agency | 251J00000X | NM | ||
| Community Health Clinic/Center | 261QC1500X | |||
| Respite Care | 385H00000X | NM |
Addresses
Primary practice location
4600 A Montgomery Blvd NE
Suite a-101
Albuquerque, NM 87109-1218
Mailing address
901 Waterfall Way Ste 105
Richardson, TX 75080-6753
Phone (972) 661-3737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34102256 | Medicaid | NM |
Other names 1
- CHILDREN'S HOME HEALTHCARE
National Provider Directory
National Provider Directory- Tax ID family
- Childrens Home Healthcare
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Care Agency
- Las Cruces, NM
- NPI 1477367241
-
- Home Health Agency
- Van Alstyne, TX
- NPI 1063438364
Locations
901 Waterfall Way
Ste 105
Richardson, TX 75080
Phone (972) 661-3737
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Nursing Care Agency
- Las Cruces, NM
- NPI 1477367241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733788800000",
"number": "1922524834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 WATERFALL WAY STE 105",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750806753",
"telephone_number": "972-661-3737",
"fax_number": "972-661-3721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 A MONTGOMERY BLVD NE",
"address_2": "SUITE A-101",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091218",
"telephone_number": "505-881-0054",
"fax_number": "808-551-0878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DJK HOME HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-22",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A",
"authorized_official_last_name": "HADFIELD",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "214-244-2757",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NM",
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NM",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34102256",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CHILDREN'S HOME HEALTHCARE",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.