NPIMap

Organization Active NPI

Amigo Case Management, Inc.

  • Case Management Agency
  • Albuquerque, NM
National Provider Identifier
1932265477
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
AMIGO CASE MANAGEMENT, INC.
Practice address
2610 San Mateo Blvd NE Ste B
Albuquerque, NM 87110-3162
Phone
(505) 362-2236
NPI assigned
Dec 29, 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
Mr. Anthony L. Ross
Title
President
Phone
(505) 362-2236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NM Primary

Addresses

Primary practice location

2610 San Mateo Blvd NE Ste B
Albuquerque, NM 87110-3162

Mailing address

2610 San Mateo Blvd NE Ste B
Albuquerque, NM 87110-3162
Phone (505) 362-2236

Other identifiers 2

IdentifierTypeStateIssuer
000D2729MedicaidNM
000J2006MedicaidNM

National Provider Directory

National Provider Directory

Locations

2610 San Mateo Blvd NE
Ste B
Albuquerque, NM 87110
Phone (505) 362-2236

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932265477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 SAN MATEO BLVD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103162",
            "telephone_number": "505-362-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 SAN MATEO BLVD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103162",
            "telephone_number": "505-362-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIGO CASE MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-362-2236",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000D2729",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000J2006",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 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.