Organization Active NPI

DJK Home Healthcare, LLC

  • Home Health Agency
  • Albuquerque, NM
National Provider Identifier
1922524834
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Dec 10, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
34102256MedicaidNM

Other names 1

  • CHILDREN'S HOME HEALTHCARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Childrens Home Healthcare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.