Organization Active NPI

El Mirador Incorporated

  • Home Health Agency
  • Albuquerque, NM
National Provider Identifier
1942617600
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X
Home Modifications ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 AgencyCCN 327226 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
May 31, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Louis Perea Individual 5% Or Greater Direct Ownership Interest Nov 14, 2005 100%
Corporate OfficerPresident/Ceo Mar 2, 2015 100%
Operational/Managerial ControlPresident/Ceo Mar 2, 2015 100%
Moora Trabosci Individual Corporate DirectorDirector of Operations Jan 3, 2023 100%
W-2 Managing EmployeeDirector of Operations 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.

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.

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

Verify at the official NPI Registry.