ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT (NPI# 1235324815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235324815 |
| Entity Type | Organization |
| Organization Name | ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT |
| Other Organization Name | ROOSEVELT GENERAL HOSPITAL HOME HEALTH |
| Practice Address |
1412 South Avenue O Suite B Portales NM 88130-7091 |
| Mailing Address |
Po Box 868 Portales NM 88130-0868 |
| Practice Telephone | 5052264663 |
| Practice Fax Number | 5052264664 |
| Mailing Telephone | 5052264663 |
| Mailing Fax Number | 5052264664 |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-12-20 |
| Authorized Official Name | GARY PARTIN (DIRECTOR) |
| Authorized Official Telephone | 5052264663 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 3178 | NM | Agencies |
| Other Name | Type Code |
|---|---|
| Roosevelt General Hospital Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437570728 | Roosevelt County Special Hospital District | Nurse Anesthetist, Certified Registered | 42121 U.S. 70, Portales, NM 88130-9054 | 2014-01-03 |
| 1578639662 | Roosevelt County Special Hospital District | Clinic/Center | 2000 W 21st St Ste R1, Clovis, NM 88101-4098 | 2006-11-28 |
| 1073517058 | Roosevelt County Special Hospital District | General Acute Care Hospital | 42121 Us Highway 70, Portales, NM 88130-9357 | 2005-06-08 |
| 1154770618 | Roosevelt County Special Hospital District | Clinic/Center | 121 Main St, Melrose, NM 88124-9680 | 2016-06-06 |
| 1316013402 | Roosevelt County Special Hospital District | Clinic/Center | 42121 Us Hwy 70, Portales, NM 88130-9347 | 2006-11-28 |
| 1093801292 | Roosevelt County Special Hospital District | Pain Medicine | 42121 Us Hwy 70, Portales, NM 88130-9357 | 2006-10-05 |
| Street Address |
1412 SOUTH AVENUE O SUITE B |
| City | PORTALES |
| State | NM |
| Zip Code | 88130-7091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245861319 | Cynthia Alarid | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Schroc, Portales, NM 88130 | 2020-01-28 |
| 1649800384 | Gurveen Sandhu | Student in an Organized Health Care Education/Training Program | 1500 S Ave. K Station 3, Shroc, Portales, NM 88130 | 2020-01-22 |
| 1740744226 | Ashley Mcclelland | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K, Station 3 Shroc, Portales, NM 88130 | 2019-01-29 |
| 1285103218 | Jessica Dianne Terry | Behavior Technician | 743 S Hills Oak Rd, Portales, NM 88130 | 2018-11-20 |
| 1619445822 | Jonna Smith | Marriage & Family Therapist | 44 S Roosevelt Road N, Portales, NM 88130 | 2018-11-06 |
| 1932689254 | Carolina Yanez | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K Station 3 Shroc, Portales, NM 88130 | 2018-08-16 |
| 1033611918 | Shelley Marie Laya | Student in an Organized Health Care Education/Training Program | 1500 S. Ave K., Station 3, Shroc, Portales Nm, CA 88130 | 2018-03-06 |
| 1750800744 | Sara Rose Mccarty | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Shro, Portales, NM 88130 | 2017-09-12 |
| 1528584463 | Calli Bane | Student in an Organized Health Care Education/Training Program | 1500 South Ave. K, Station 3, Shroc, Portales, NM 88130 | 2017-08-22 |
| 1700302890 | Victoria L Young | Speech-Language Pathologist | 1500 South Ave K, Station 3 Shroc, Portales, NM 88130 | 2017-08-21 |
| Find all providers in zip 88130 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386977 | Gina D Padilla | Home Health | 1307 San Pedro Dr Ne, Albuquerque, NM 87110-6727 | 2020-11-04 |
| 1598365066 | Ricelands Home Health Care and Hospice LLC | Home Health | 9215 Layton Ave Ne, Albuquerque, NM 87111-1335 | 2020-10-26 |
| 1205451887 | Handson Home Care | Home Health | 352 Peaceful Meadows Dr Ne, Rio Rancho, NM 87144-4102 | 2020-06-10 |
| 1396368916 | Hannah's Helping Hands, LLC | Home Health | 7033 Kalgan Rd. Ne, Rio Rancho, NM 87144 | 2020-05-19 |
| 1073135216 | At Home Not Alone Care, LLC | Home Health | 3410 Anderson Ave Se Rear, Albuquerque, NM 87106-2408 | 2020-05-11 |
| 1396370383 | Md Health Care LLC | Home Health | 8019 Edith Blvd Ne Ste 206, Albuquerque, NM 87113-1433 | 2020-03-10 |
| 1124650817 | United One Home Care LLC | Home Health | 3321b Candelaria Rd Ne Ofc 320, Albuquerque, NM 87107-1908 | 2020-02-10 |
| 1316595184 | Simplicity Home Health Care | Home Health | 7920 Mountain Rd Ne Ste B, Albuquerque, NM 87110-7800 | 2019-08-26 |
| 1952960817 | Mary T Martinez | Home Health | 585 Osuna Rd Ne Ste F, Albuquerque, NM 87113-1084 | 2019-06-12 |
| 1689230658 | Norma Araceli Ortega | Home Health | 9319 Starboard Rd Nw, Albuquerque, NM 87121-1968 | 2019-05-15 |
| Find all providers with the same taxonomy | ||||
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| 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.