Los Alamos Visiting Nurse Service, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

6036 Issued in NM

Legal business name

LOS ALAMOS VISITING NURSE SERVICE, INC.

Practice address

109 Central Park SQ
Los Alamos, NM 87544-4020

Phone

(505) 662-2525

Fax

(505) 662-7390

NPI assigned

Jul 7, 2005

Last updated

Jul 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wendi Wolfe, R.N.

Title

Executive Director

Phone

(505) 662-2525

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962400663. Details of each certification follow.

• CCN 327009 Home health agency · Terminated · Details

Home health agency certification: CCN 327009

Legal name

LOS ALAMOS VISITING NURSE SERVICE, INC

Certification status

Terminated Voluntary: merger or closure, Feb 20, 2026

Provider type (POS)

Home health agency

Participating since

Jun 14, 1973

Last certification

Feb 26, 2019

Ownership / control type

Non-Profit

Organization structure

CorporationNon-profit

Incorporated

May 9, 1973 in NM

Enrollment address

109 Central Park SQ
Los Alamos, NM 87544-4020

Listed as

Los Alamos Visiting Nurse Service, Inc.CCN 327009 · All quality measures

Overall star rating

2.5 of 5

Ownership

Non-Profit

Certified

Jun 14, 1973

Medicare certification status

Terminated Voluntary: merger or closure, Feb 20, 2026From the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Michelle W Carr, MD

  • Family Medicine Physician
  • Los Alamos, NM
  • NPI 1568411916

  Home health agency

  Care Compare affiliation
• Madhavi Garimella, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Los Alamos, NM
  • NPI 1134225493

  Home health agency

  Care Compare affiliation
• James Joseph Ziomek, MD

  • Internal Medicine Physician
  • Los Alamos, NM
  • NPI 1487652780

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1962400663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CENTRAL PARK SQ",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444020",
            "telephone_number": "505-662-2525",
            "fax_number": "505-662-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CENTRAL PARK SQ",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444020",
            "telephone_number": "505-662-2525",
            "fax_number": "505-662-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ALAMOS VISITING NURSE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "WENDI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-662-2525",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "6036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NMCRS",
            "identifier": "011797486000",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0145",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Los Alamos Physician Practices LLC (Los Alamos Surgical Assoc- Urology)
• Los Alamos Physician Practices, LLC (Los Alamos General Surgery Clinic)
• Los Alamos Retired Senior Organization
• Los Alamos Retirement Center, Inc. (Sombrillo Nursing Facility)
• Los Alamos Visiting Nurse Service, Inc
• Los Alamos Wellness & Rehabilitation LLC
• Los Alamos Womens Health Services, PC
• Kelli Maginot
• Maureen Mahoney-Barraclough, MOTR-L, MS
• Jeanne Malchow, CNM/FNP

• Home Health Agency in Los Alamos, NM
• Providers in Los Alamos, NM by specialty
• Home Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.

Verify at the official NPI Registry.