Active NPI
Native Resource Development Company Inc.
- In Home Supportive Care Agency
- Gallup, NM
National Provider Identifier
1992832455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 24855731
- Legal business name
- NATIVE RESOURCE DEVELOPMENT COMPANY INC.
- Practice address
- 318 Dee Ann Ave
Gallup, NM 87301-5783 - Phone
- (505) 726-0201
- Fax
- (505) 726-0202
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Penny Emerson
- Title
- Owner
- Phone
- (505) 867-5372
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 24855731 | NM | Primary |
| In Home Supportive Care Agency | 253Z00000X | 777245 | AZ | |
| Non-emergency Medical Transport (VAN) | 343900000X | 30550297 | NM | |
| Non-emergency Medical Transport (VAN) | 343900000X | 073338 | AZ |
Addresses
Primary practice location
318 Dee Ann Ave
Gallup, NM 87301-5783
Mailing address
318 Dee Ann Ave
Gallup, NM 87301-5783
Phone (505) 726-0201
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43979203 | Medicaid | NM | |
| 24855731 | Medicaid | NM | |
| 30550297 | Medicaid | NM | |
| 073338 | Medicaid | AZ | |
| 777245 | Medicaid | AZ |
Other names 1
- Quality Home Care
National Provider Directory
National Provider DirectoryLocations
318 Dee Ann Ave
Gallup, NM 87301
Phone (505) 726-0201
324 Dee Ann Ave
Ste A
Gallup, NM 87301
Phone (505) 373-2636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719792000000",
"number": "1992832455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 DEE ANN AVE",
"city": "GALLUP",
"state": "NM",
"postal_code": "873015783",
"telephone_number": "505-726-0201",
"fax_number": "505-726-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 DEE ANN AVE",
"city": "GALLUP",
"state": "NM",
"postal_code": "873015783",
"telephone_number": "505-726-0201",
"fax_number": "505-726-0202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIVE RESOURCE DEVELOPMENT COMPANY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A",
"authorized_official_last_name": "EMERSON",
"authorized_official_first_name": "PENNY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-867-5372"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NM",
"license": "24855731",
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "AZ",
"license": "777245",
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NM",
"license": "30550297",
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "AZ",
"license": "073338",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43979203",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "24855731",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30550297",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "073338",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "777245",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Quality Home Care",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Gallup, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.