Individual provider Active NPI

Mary T Martinez

  • In Home Supportive Care Agency
  • Albuquerque, NM
National Provider Identifier
1952960817
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
3644 Issued in NM
Practice address
585 Osuna Rd NE Ste F
Albuquerque, NM 87113-1084
Phone
(505) 884-0353
Fax
(505) 830-2547
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X 3644 NM Primary

Addresses

Primary practice location

585 Osuna Rd NE Ste F
Albuquerque, NM 87113-1084

Mailing address

585 Osuna Rd NE Ste F
Albuquerque, NM 87113-1084
Phone (505) 884-0353

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmartinez@homeinsteadnm.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3644NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trusted Care Inc. In Home Supportive Care CurrentSince Sep 4, 2022 Accepting new patients

Locations

585 Osuna Rd NE
Ste F
Albuquerque, NM 87113
Phone (505) 884-0353

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1952960817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 OSUNA RD NE STE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131084",
            "telephone_number": "505-884-0353",
            "fax_number": "505-830-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 OSUNA RD NE STE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131084",
            "telephone_number": "505-884-0353",
            "fax_number": "505-830-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARY",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NM",
            "license": "3644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmartinez@homeinsteadnm.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "client information",
            "address_1": "585 Osuna Rd NE Ste F",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871131084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 9, 2022; 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.