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Contact Information

THI OF NEW MEXICO AT EN SU CASA LLC
8820 HORIZON BLVD NE
ALBUQUERQUE, NM87113-1689
 Phone: 505-823-1885
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for THI OF NEW MEXICO AT EN SU CASA LLC

NPI # 1760699334
LBN Legal business name THI OF NEW MEXICO AT EN SU CASA LLC
Authorized official JOSIE PEBSWORTH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2007
Last updated 03/10/2008 - About 18 years ago
Identifiers
NM Medicaid 24273881
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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