JLA SENIOR FOOTCARE NM LLC (NPI# 1659688380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659688380 |
| Entity Type | Organization |
| Organization Name | JLA SENIOR FOOTCARE NM LLC |
| Practice Address |
1600 W Ave I Lovington NM 88260-5002 |
| Mailing Address |
4870 S Aspen Ct Canfield OH 44406-8469 |
| Practice Telephone | 5753965212 |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |
| Authorized Official Name | ANTHONY INNOCENZI (OWNER) |
| Authorized Official Telephone | 3307020978 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
331 | NM | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1600 W AVE I |
| City | LOVINGTON |
| State | NM |
| Zip Code | 88260-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922089028 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 1600 W Ave I, Lovington, NM 88260-5002 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548761034 | Debra Mauldin | Registered Nurse | 18 West Washington, Lovington, NM 88260 | 2018-02-21 |
| 1790283786 | Brenda D'ann Perry | Registered Nurse | 700 W Jefferson, Lovington, NM 88260 | 2018-01-25 |
| 1114433513 | Rebecca Madrid | Registered Nurse | 11 Ano 1000 S Main St, Lovington, NM 88260 | 2017-12-20 |
| 1588177414 | Kimberly Kay Reeder | Registered Nurse | 1400 S. 6th St, Lovington, NM 88260 | 2017-11-14 |
| 1508379439 | Jessica Fitzgerald | Registered Nurse | 1202 W Birch Ave, Lovington, NM 88260 | 2017-11-14 |
| 1245760362 | Dyesebel Morales Solis | Physical Therapist | 1600 N. Main Street, Nor-lea Hospital District, Lovington, NM 88260 | 2017-06-13 |
| 1962949172 | Especializados En Servicios Medicos Quirurgicos Sa De Cv | General Acute Care Hospital | A. Obregon 3256 Col. Jardin, Nuevo Laredo, TAMAULIPAS 88260 | 2017-01-25 |
| 1205386992 | Graciela Urbina | Dentist | O Campo 3147, Nvo Laredo, TAMPS 88260 | 2016-10-06 |
| 1710294913 | Lindsey Anitra Broom | Speech-Language Pathologist | 1300 W. Dogwood, Lovington, NM 88260 | 2010-09-09 |
| 1003129545 | Rosalinda Barraza | Occupational Therapist | 18 W Washington, Lovington, NM 88260 | 2010-07-26 |
| Find all providers in zip 88260 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407026735 | Affiliated Podiatry Assoc. | Podiatrist | 539 Harkle Rd Ste C, Santa Fe, NM 87505-4783 | 2008-03-03 |
| 1215011218 | Bryan Kent Broadbent | Podiatrist | 2300 E 30th St Bldg D-101, Farmington, NM 87401-8991 | 2006-10-25 |
| 1174597397 | Susan Elizabeth Erredge | Podiatrist | Route 301 North 21 B Ave, Zuni, NM 87327-0467 | 2006-02-14 |
| 1295731628 | David R Sotelo | Podiatrist | 101 Hospital Loop Ne Ste 201, Albuquerque, NM 87109 | 2005-06-21 |
| 1679578520 | Michael Cohn | Podiatrist | 3804 Montgomery Blvd Ne, Albuquerque, NM 87109-1081 | 2005-06-16 |
| 1083885388 | Dr Michael Cohn PC | Podiatrist | 3804 Montgomery Blvd Ne, Albuquerque, NM 87109-1081 | 2008-03-14 |
| 1093928673 | Samuel C. Carpenter, Dpmpc | Podiatrist | 4801 N Butler Ave, Suite 9102, Farmington, NM 87401-6002 | 2007-05-08 |
| 1760530893 | Jeffrey Michael Sauer | Podiatrist | 3917 West Rd, Ste 135, Los Alamos, NM 87544-2275 | 2007-01-08 |
Please comment or provide details below to improve the information on JLA SENIOR FOOTCARE 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.