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Contact Information

NEW MEXICO CONSUMER DIRECT PERSONAL CARE, LLC
8220 SAN PEDRO DR NE STE 400
ALBUQUERQUE, NM87113-2476
 Phone: 505-884-3116
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for NEW MEXICO CONSUMER DIRECT PERSONAL CARE, LLC

NPI # 1740376292
LBN Legal business name NEW MEXICO CONSUMER DIRECT PERSONAL CARE, LLC
Authorized official HOLLY STEPHENS - (LEGAL MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/04/2006
Last updated 08/19/2025 - About 10 months ago
Identifiers
NM Medicaid 01926250
NM Medicaid 22554254
NM Medicaid 55821065
NM Medicaid 57575533
NM Medicaid 84385359
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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