THI OF NEW MEXICO AT EN SU CASA LLC


Address: 1235 8th St, Las Vegas, NM 87701-4219
Phone: 5054543917

THI OF NEW MEXICO AT EN SU CASA LLC (NPI# 1629285135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629285135
Entity Type Organization
Organization Name THI OF NEW MEXICO AT EN SU CASA LLC
Other Organization Name EN SU CASA PERSONAL CARE
Practice Address 1235 8th St
Las Vegas
NM 87701-4219
Mailing Address 930 Ridgebrook Rd
Sparks
MD 21152-9390
Practice Telephone 5054543917
Enumeration Date 2007-05-16
Last Update Date 2010-08-02
Authorized Official Name JUDY RICHARDS (PRESIDENT)
Authorized Official Telephone 5055227000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 88955567 05

Other Provider/Organization Names

Other Name Type Code
En Su Casa Personal Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1194932707 Thi of New Mexico At En Su Casa LLC Technician 524 De Moss St, Suite 12, Lordsburg, NM 88045-2626 2007-05-16
1134336712 Thi of New Mexico At En Su Casa LLC Technician 2029 Sagecrest Ave, Las Cruces, NM 88001-8044 2007-05-16
1760699334 Thi of New Mexico At En Su Casa LLC Technician 8820 Horizon Blvd Ne, Albuquerque, NM 87113-1689 2007-05-16

Office Location

Street Address 1235 8TH ST
City LAS VEGAS
State NM
Zip Code 87701-4219

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861497901 Yvonne D Vanarsdale-imani Family Medicine 1235 8th St, Las Vegas, NM 87701-4219 2005-06-16
1376157024 Rose Marie Mcdonald Nurse Practitioner 1235 8th St, Las Vegas, NM 87701-4219 2020-09-01
1770195380 Kelli Moore Social Worker 1235 8th St, Las Vegas, NM 87701-4219 2020-08-17
1427683549 Francisca Cordova Social Worker 1235 8th St, Las Vegas, NM 87701-4219 2020-03-09
1821628306 Jessica Turner Social Worker 1235 8th St, Las Vegas, NM 87701-4219 2020-01-23
1679122600 Alba Melissa Weaver Dentist 1235 8th St, Las Vegas, NM 87701-4219 2019-09-11
1972151728 Jesse Lee Baca Counselor 1235 8th St, Las Vegas, NM 87701-4219 2019-08-26
1295217818 Laura Robinson Family Medicine 1235 8th St, Las Vegas, NM 87701-4219 2018-08-30
1972090629 Nona A Collins Social Worker 1235 8th St, Las Vegas, NM 87701-4219 2018-04-18
1679929186 Danyelle Romero Nurse Practitioner 1235 8th St, Las Vegas, NM 87701-4219 2016-05-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851884423 Nueva Vida Counseling and Consulting Services LLC Community/Behavioral Health Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 2018-06-08
1316475403 El Centro Family Health Family Medicine 475 Legion Dr., Las Vegas, NM 87701 2017-06-01
1700327384 Anastacia Sena Jaramillo Psychologist 126 Silva Ave., Las Vegas, NM 87701 2017-03-15
1013369222 Home Medical Equipment Specialists,llc Durable Medical Equipment & Medical Supplies 514 8th Street, Las Vegas, NM 87701 2016-07-12
1750730826 John Michael Tourangeau Social Worker 1920 7th Street, Las Vegas, NM 87701 2016-06-08
1154705689 Lindsy Laura Kragt Allen Podiatrist 1608 7th St, Las Vegas, NM 87701 2015-07-14
1023409521 Ambercare Medical Supply Durable Medical Equipment & Medical Supplies 1747 N Grand Ave, Las Vegas, NM 87701 2015-02-05
1538561964 El Centro Family Health Clinic/Center 947 Old National Road, Las Vegas, NM 87701 2014-09-17
1164832150 Plaza Drugs Pharmacist 178 Bridge St, Las Vegas, NM 87701 2014-04-30
1043648165 Open Doors Home Health Care Home Health 713 Railroad Ave., Las Vegas, NM 87701 2013-10-29
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Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

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NPI Name Taxonomy Address Enumeration
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1396346409 Johanna Dwyer Technician 5755 E Lake Mead Blvd Apt D, Las Vegas, NV 89156-6859 2020-11-04
1063013274 Lloyd Major Technician 3830 University Center Dr Apt 318, Las Vegas, NV 89119-7420 2020-11-04
1861093239 Raiquave Morgan Technician 5256 Tamarus St Apt B, Las Vegas, NV 89119-5047 2020-11-03
1669073250 Chrissy Bowser Technician 3355 Spg Mnt Rd Ste 67, Las Vegas, NV 89102-8633 2020-11-02
1235739392 Maxima Del Carmen Garcia Technician 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 2020-10-28
1427657196 Hector Querubin Technician 5400 S Maryland Pkwy Apt 165, Las Vegas, NV 89119-2642 2020-10-22
1043819063 Ma Guadalupe Ramos Michel Technician 2415 Reynolds Ave #101, Las Vegas, NV 89030 2020-10-21
1881293777 Miguel Angel Umpierre Technician 9889 Overlook Ridge Ave, Las Vegas, NV 89148 2020-10-21
1356940654 Shannon Gordon Technician 1224 W Lake Mead Blvd, Las Vegas, NV 89106-2415 2020-10-19
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Competitor

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City LAS VEGAS
Zip Code 87701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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