PRESBYTERIAN MEDICAL SERVICES (NPI# 1518029644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518029644 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN MEDICAL SERVICES |
| Other Organization Name | SAN JUAN HOME HEALTH CARE |
| Practice Address |
608 Reilly Ave Farmington NM 87401 |
| Mailing Address |
Po Box 2267 Santa Fe NM 87504-2267 |
| Practice Telephone | 5053270301 |
| Practice Fax Number | 5053251330 |
| Mailing Telephone | 5059825565 |
| Mailing Fax Number | 5059924990 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2008-04-09 |
| Authorized Official Name | ROBERTA LEE (CFO) |
| Authorized Official Telephone | 5059825565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | CL00010019 | NM | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | N-1177 | 05 |
| Other Name | Type Code |
|---|---|
| San Juan Home Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083262422 | Presbyterian Medical Services | Clinic/Center | 28 Panther Parkway, 63 North Highway, Pecos, NM 87552 | 2019-08-29 |
| 1487119608 | Presbyterian Medical Services | Clinic/Center | 1 Salomon Griego Road, Veguita, NM 87062 | 2019-02-01 |
| 1811473978 | Presbyterian Medical Services | Clinic/Center | 282 Casa Blanca Rd, Casa Blanca, NM 87007 | 2018-07-12 |
| 1215284146 | Presbyterian Medical Services | Clinic/Center | 1200 Michigan Street, Socorro, NM 87801 | 2012-08-09 |
| 1740553734 | Presbyterian Medical Services | Clinic/Center | #50 County Road 13, Cuba, NM 87013 | 2012-02-22 |
| 1174845143 | Presbyterian Medical Services | Clinic/Center | 204 Angelina Blvd., Chaparral, NM 88081 | 2010-02-18 |
| 1821229931 | Presbyterian Medical Services | Counselor | 124 Unser Blvd, Rio Rancho, NM 87124 | 2009-08-06 |
| 1003977869 | Presbyterian Medical Services | Hospice Care, Community Based | 608 Reilly Ave, Farmington, NM 87401 | 2006-12-13 |
| 1760540553 | Presbyterian Medical Services | Clinic/Center | 8 Old Town Loop, Quemado, NM 87829 | 2006-12-05 |
| 1609944800 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 2500 State Hwy 197, Torreon, NM 87013 | 2006-12-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | PRESBYTERIAN MEDICAL SERVICES | 1422 Paseo De Peralta, Santa Fe, New Mexico 87501 |
| Washington State Corporations | PRESBYTERIAN MEDICAL SERVICES | 906 W 2nd Ave Ste 100, Spokane, WA 99201-4540 |
| Colorado Business Entities | Presbyterian Medical Services | 1422 Paseo De Peralta, Santa Fe, NM 87501 |
| System for Award Management (SAM) Entities | PRESBYTERIAN MEDICAL SERVICES, INC. | 1422 Paseo De Peralta Bldg 1, Santa Fe, NM 87501-4391 |
| Street Address |
608 REILLY AVE |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003977869 | Presbyterian Medical Services | Hospice Care, Community Based | 608 Reilly Ave, Farmington, NM 87401 | 2006-12-13 |
| 1821339987 | Joshua Bancroft | Counselor | 608 Reilly Ave, Farmington, NM 87401-2634 | 2013-03-13 |
| 1558602615 | Brittany Montoya | Counselor | 608 Reilly Ave, Farmington, NM 87401-2634 | 2013-03-13 |
| 1942466289 | Ruth Adele Burd | Physical Therapist | 608 Reilly Ave, Farmington, NM 87401-2634 | 2008-08-06 |
| 1104033539 | Wendy D Bircher | Physical Therapist | 608 Reilly Ave, Farmington, NM 87401-2634 | 2007-05-16 |
| 1326195769 | Pms Dba Roundtree Childrens' Development Services | Clinic/Center | 608 Reilly Ave, Farmington, NM 87499 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| 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 |
|---|---|---|---|---|
| 1063036663 | Access Recovery Center Inc. | Home Health | 17365 Fontana Path, Farmington, MN 55024-9021 | 2020-05-31 |
| 1568006062 | Silver Home Care LLC | Home Health | 6 Executive Dr Ste 120, Farmington, CT 06032-2853 | 2019-10-29 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1235681115 | Caregivers In Your Home, LLC | Home Health | 2014 San Juan Blvd Ste F, Farmington, NM 87401-2240 | 2016-10-26 |
| 1336501451 | Roots Home Health Care Inc | Home Health | 2012 San Juan Blvd, Farmington, NM 87401-2220 | 2016-03-28 |
| 1760859474 | Golden Grand Home Care | Home Health | 18036 Duncan Cir, Farmington, MN 55024-7244 | 2015-08-28 |
| 1508276338 | Baby Bright, Inc. | Home Health | 33344 Grand River Ave, Farmington, MI 48336-3124 | 2014-05-01 |
| 1144567223 | Vna Homecare, Inc. | Home Health | 504 W Pine St, Farmington, MO 63640-1426 | 2013-01-10 |
| 1649520412 | Intergrated Health Solutions, Inc. | Home Health | 1601b E 20th St, Farmington, NM 87401-4307 | 2012-09-19 |
| 1831484492 | Metro Home Health Care LLC | Home Health | 23321 Orchard Lake Rd, Farmington, MI 48336-3238 | 2011-06-12 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on PRESBYTERIAN MEDICAL SERVICES.
| 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.