TSPC-NM, LLC (NPI# 1538676663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538676663 |
| Entity Type | Organization |
| Organization Name | TSPC-NM, LLC |
| Other Organization Name | THRIVE SKILLED PEDIATRIC CARE |
| Practice Address |
4600 Jefferson Lane Ne, Suite C Albuquerque NM 87109-2134 |
| Mailing Address |
701 Edgewater Drive Suite 300 Wakefield MA 01880-6242 |
| Practice Telephone | 5058834100 |
| Practice Fax Number | 5058899400 |
| Mailing Telephone | 7814864100 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2020-04-07 |
| Authorized Official Name | MR. GREGORY A SERRAO (PRESIDENT & CEO) |
| Authorized Official Telephone | 7814864100 |
| Is Organization Subpart | Y |
| Parent Organization Name | THRIVE SKILLED PEDIATRIC CARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| Y | 251J00000X | Nursing Care | Agencies |
| Other Name | Type Code |
|---|---|
| Thrive Skilled Pediatric Care | Doing Business As Name - Organization |
| Street Address |
4600 JEFFERSON LANE NE, SUITE C |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922524834 | Djk Home Healthcare, LLC | Nursing Care | 4600 A Montgomery Blvd Ne, Suite A-101, Albuquerque, NM 87109-1218 | 2017-08-22 |
| 1356772321 | Pg and S, LLC | Nursing Care | 10517 Carol Pl Ne, Albuquerque, NM 87112-5305 | 2013-12-02 |
| 1851640858 | Phaldor Consulting LLC | Nursing Care | 308 Pequin Trl Se, Albuquerque, NM 87123-2174 | 2012-09-05 |
| 1003118415 | Icu At Home, LLC | Nursing Care | 8705 Silvercrest Ct Nw, Albuquerque, NM 87114-6224 | 2010-11-17 |
| 1942339163 | Unm Health Sciences Center | Nursing Care | 1001 Yale Bl Vd., Ne, Albuquerque, NM 87106-3825 | 2007-03-05 |
| 1528108271 | Footprints Home Care, Inc | Nursing Care | 5941-a Jefferson St Ne, Albuquerque, NM 87109 | 2007-02-08 |
| 1023346350 | New Mexico Nurse, LLC. | Nursing Care | 3939 San Pedro Dr Ne, Bldg. C, Albuquerque, NM 87110-8900 | 2009-11-24 |
| 1265561476 | Unm Hospital | Nursing Care | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2745 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134685902 | Help At Home LLC | Nursing Care | 151 N Roadrunner Pkwy Apt 103, Las Cruces, NM 88011-7021 | 2019-02-15 |
| 1972089498 | Gc Ventures and Co. | Nursing Care | 6855 4th St Nw Ste B-2, Los Ranchos, NM 87107-6100 | 2018-07-17 |
| 1891209235 | Fort Sumner Schools | Nursing Care | 262 South 9th Street, Elementary School Building, Fort Sumner, NM 88119-9316 | 2017-11-21 |
| 1245609783 | Body Bella | Nursing Care | 5020 Creosote Run Rd, Las Cruces, NM 88011-2541 | 2015-09-15 |
| 1407153281 | Divine Care Medicals LLC | Nursing Care | 1102 W Ural Dr, Carlsbad, NM 88220-4059 | 2011-02-14 |
| 1851613343 | New Mexico Healthcare Services, LLC | Nursing Care | 726 E Michigan Dr Ste 130, Hobbs, NM 88240-3456 | 2010-02-24 |
| 1134174063 | New Mexico Healthcare Services, LLC | Nursing Care | 2300 N Main St Ste 19, Clovis, NM 88101-3573 | 2006-05-22 |
| 1972620631 | Espanola Valley High School | Nursing Care | 714 Calle Don Diego, Espanola, NM 87532-3414 | 2007-03-26 |
| 1376677427 | Sierra Health Care, Inc. | Nursing Care | 1400 N Silver St, Truth Or Consequences, NM 87901-1957 | 2007-03-14 |
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on TSPC-NM, LLC.
| 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.