Roadrunner Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ROADRUNNER HOME HEALTH, LLC

Practice address

2469 Corrales Rd
Suite a Building a
Corrales, NM 87048

Phone

(505) 737-8213

Fax

(505) 508-1514

NPI assigned

Dec 4, 2013

Organization subpart

No

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

Authorized official

Name

Jennifer Keck, BSN

Title

Owner/Ceo

Phone

(505) 321-7295

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Roadrunner Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Home health agency certification: CCN 327807

Legal name

ROADRUNNER HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 30, 2022

Last certification

Aug 9, 2022

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Dec 5, 2019 in NM

Enrollment address

2469 Corrales Rd
BLDG a Suite E
Corrales, NM 87048
HHA Branch

Listed as

Roadrunner Home Health LLCCCN 327807

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Sep 30, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Keck

  • Pharmacist
  • Albuquerque, NM
  • NPI 1700273158
  NPD

Affiliated clinicians 1

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

• Kimberly A Bocaz, CNP

  • Primary Care Nurse Practitioner
  • Albuquerque, NM
  • NPI 1699220335

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1972934743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2046",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870482046",
            "telephone_number": "505-321-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2469 CORRALES RD",
            "address_2": "SUITE A BUILDING A",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "87048",
            "telephone_number": "505-737-8213",
            "fax_number": "505-508-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROADRUNNER HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "KECK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "505-321-7295",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1T7084",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roadrunner Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa Lynn Rhodes, LMSW, LISW, LCSW
• Allison Troy Richardson
• Tara Lynn Richardson, LMHC
• Miranda Janay Rietmann, LMT
• Rio Grande Fna
• Roadrunner Nursing Care LLC
• David Kerr Robertson
• Maurits Willem Rol, MD
• Joanne Marjorie Rossi, MA, LPC
• Melissa Rutledge, CCC-SLP

• Home Health Agency in Corrales, NM
• Providers in Corrales, 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 Jan 11, 2024; 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.