NPIMap

Organization Active NPI

Home Kare Inc., of Dona Ana

  • Home Health Agency
  • Las Cruces, NM
National Provider Identifier
1972664688
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
6404 Issued in NM
Legal business name
HOME KARE INC., OF DONA ANA
Practice address
2303 Divot Ave
Suite 5
Las Cruces, NM 88001-8417
Phone
(575) 521-2663
Fax
(575) 521-3046
NPI assigned
Dec 13, 2006
Last updated
Apr 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Mrs. Irma Benavidez Felix, RN, BSN
Title
Ceo Vice President
Phone
(505) 521-2663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 6404 NM Primary

Addresses

Primary practice location

2303 Divot Ave
Suite 5
Las Cruces, NM 88001-8417

Mailing address

2303 Divot Ave
Suite 5
Las Cruces, NM 88001-8417
Phone (575) 521-2663

Other identifiers 2

IdentifierTypeStateIssuer
A1606MedicaidNM
N2514MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080226000192 NM Part A Provider - Home Health Agency 2365526654 Practice locations: Las Cruces, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972664688. Details of each certification follow.

Home health agency certification: CCN 327126

Legal name
HOME KARE INC., OF DONA ANA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 21, 1994
Last certification
Jun 24, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 31, 1994 in NM
Enrollment address
2293 Divot Ave
Ste 4
Las Cruces, NM 88001-8416
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Kare Inc of Dona AnaCCN 327126 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 21, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D0886177Home Kare Inc of Dona Ana2293 Divot Ave Suite 4, Las Cruces, NM 88001Certificate of waiverMay 13, 2028

National Provider Directory

National Provider Directory

Locations

1853 E Lohman Ave
Las Cruces, NM 88001
Phone (575) 521-2663

2293 Divot Ave
Ste 4
Las Cruces, NM 88001
Phone (575) 521-2663

2303 Divot Ave
Ste 5
Las Cruces, NM 88001
Phone (575) 521-2663

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
Irma Felix Individual 5% Or Greater Direct Ownership InterestCo-Admin Mar 31, 1994 50%
5% Or Greater Indirect Ownership Interest Mar 31, 1994 50%
5% Or Greater Mortgage Interest Mar 31, 1994 50%
5% Or Greater Security Interest Mar 31, 1994 50%
General Partnership Interest Mar 31, 1994 50%
Limited Partnership Interest Mar 31, 1994 50%
Corporate Officer Mar 31, 1994 50%
Corporate Director Mar 31, 1994 50%
W-2 Managing EmployeeCeo Mar 31, 1994 50%
Operational/Managerial Control Mar 31, 1994 50%
Martha Lozano Individual 5% Or Greater Direct Ownership InterestCo-Admin Mar 31, 1994 50%
5% Or Greater Indirect Ownership Interest Mar 31, 1994 50%
5% Or Greater Mortgage Interest Mar 31, 1994 50%
5% Or Greater Security Interest Mar 31, 1994 50%
General Partnership Interest Mar 31, 1994 50%
Limited Partnership Interest Mar 31, 1994 50%
Corporate Director Mar 31, 1994 50%
W-2 Managing EmployeeCfo Mar 31, 1994 50%

Practitioners & affiliated clinicians

Affiliated clinicians 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1972664688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 DIVOT AVE",
            "address_2": "SUITE 5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880018417",
            "telephone_number": "575-521-2663",
            "fax_number": "575-521-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 DIVOT AVE",
            "address_2": "SUITE 5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880018417",
            "telephone_number": "575-521-2663",
            "fax_number": "575-521-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME KARE INC., OF DONA ANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "FELIX",
        "authorized_official_first_name": "IRMA",
        "authorized_official_middle_name": "BENAVIDEZ",
        "authorized_official_title_or_position": "CEO VICE PRESIDENT",
        "authorized_official_telephone_number": "505-521-2663",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "6404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A1606",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N2514",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.