Active NPI
El Mirador Incorporated
- Home Health Agency
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- EL MIRADOR INCORPORATED
- Practice address
- 10801 Lomas Blvd NE Ste 115
Albuquerque, NM 87112-5474 - Phone
- (505) 293-5941
- Fax
- (505) 271-0484
- NPI assigned
- Jul 15, 2014
- Last updated
- Apr 23, 2025
- 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
- Louis Perea, OWNER
- Title
- President
- Phone
- (505) 293-5941
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | |||
| Home Modifications Contractor | 171WH0202X | |||
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
10801 Lomas Blvd NE Ste 115
Albuquerque, NM 87112-5474
Mailing address
10801 Lomas Blvd. N.E.
Suite 115
Albuquerque, NM 87112
Phone (505) 271-2280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180529002054 | NM | Part A Provider - Home Health Agency | 5991094914 | Practice locations: Albuquerque, NM |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1942617600. Details of each certification follow.
Home health agency certification: CCN 327226
- Legal name
- EL MIRADOR INCORPORATED
- Doing business as
- EL MIRADOR HOME HEALTH AGENCY
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 31, 2018
- Last certification
- Sep 17, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Nov 14, 2005 in NM
- Enrollment address
- 10801 Lomas Blvd NE
Ste 110
Albuquerque, NM 87112-5474
Care Compare: Home health agency
Medicare Care Compare- Listed as
- El Mirador Home Health Agency
- Overall star rating
- Ownership
- Proprietary
- Certified
- May 31, 2018
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
10801 Lomas Blvd NE
Ste 115
Albuquerque, NM 87112
Phone (505) 238-6680
2400 N Main St
#3
Clovis, NM 88101
600 E Fairview Ln
Espanola, NM 87532
Phone (505) 984-2241
817 W Broadway
Ste B
Farmington, NM 87401
505 National Ave
Ste 3
Las Vegas, NM 87701
243 Cook Ave
Ste D
Raton, NM 87740
813 N Richardson Ave
Ste H
Roswell, NM 88201
1911 5th St
Ste 201
Santa Fe, NM 87505
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Louis Perea | 5% Or Greater Direct Ownership Interest | Nov 14, 2005 | 100% |
| Corporate Officer | Mar 2, 2015 | 100% | |
| Operational/Managerial Control | Mar 2, 2015 | 100% | |
| Moora Trabosci | Corporate Director | Jan 3, 2023 | 100% |
| W-2 Managing Employee | Jan 3, 2023 | 100% |
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.
-
- Home Health Agency
- Albuquerque, NM
- NPI 1265035950
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Case Manager/Care Coordinator
- Albuquerque, NM
- NPI 1487770343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745366400000",
"number": "1942617600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10801 LOMAS BLVD. N.E.",
"address_2": "SUITE 115",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87112",
"telephone_number": "505-271-2280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10801 LOMAS BLVD NE STE 115",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871125474",
"telephone_number": "505-293-5941",
"fax_number": "505-271-0484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EL MIRADOR INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-15",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A",
"authorized_official_last_name": "PEREA",
"authorized_official_first_name": "LOUIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "505-293-5941",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171WH0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Contractor, Home Modifications",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.