ESPANOLA HOSPITAL HOME HEALTHCARE
NPI 1215912191
Home Health in Espanola, NM

NPI Status: Active since December 13, 2005

Contact Information

1010 SPRUCE ST
ESPANOLA, NM
ZIP 87532
Phone: (505) 753-7111
Fax: (505) 753-4438

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  • Organization
  • Home Health
  • Accepts Insurance

About ESPANOLA HOSPITAL HOME HEALTHCARE

This page provides the complete NPI Profile along with additional information for Espanola Hospital Home Healthcare, a provider established in Espanola, New Mexico operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1215912191 assigned on December 2005. The practitioner's primary taxonomy code is 251E00000X with license number 6624 (NM). The provider is registered as an organization and their NPI record was last updated 9 years ago. Espanola Hospital Home Healthcare operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Espanola Hospital Home Healthcare. The authorized official of this NPI record is Mr. Clay Holderman (Vp Regional Operations)

NPI
1215912191
Provider Legal Name
PRESBYTERIAN HEALTHCARE SERVICES
Other Organization Name
ESPANOLA HOSPITAL HOME HEALTHCARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1010 SPRUCE ST ESPANOLA, NM 87532
Location Phone
(505) 753-7111
Location Fax
(505) 753-4438
Mailing Address
PO BOX 26666 ALBUQUERQUE, NM 87125
Mailing Phone
(505) 923-5356
Mailing Fax
(505) 753-4438
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-13-2005
Last Update Date
11-08-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License No.
6624
License State
NM
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Standard Expanded Bronze + Vision + Adult Dental - PPO
  • Standard Gold - PPO
  • Standard Gold + Vision + Adult Dental - PPO
  • Standard Silver - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. CLAY HOLDERMAN

Authorized Official Title
VP REGIONAL OPERATIONS
Authorized Official Phone
(505) 923-5339

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
327164MEDICARE OSCAR/CERTIFICATION (06)NM 

Reviews for ESPANOLA HOSPITAL HOME HEALTHCARE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215912191
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251814118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 8 + 1 + 4 + 1 + 1 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1215912191 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871589069MRS. LAUREL ANNE STEVENS CFNP
Individual
Nurse Practitioner (Family)1010 SPRUCE ST ESPANOLA HOSPITAL
ESPANOLA, NM 87532
(505) 753-7111
1154307593PRESBYTERIAN HEALTHCARE SERVICES
Organization
General Acute Care Hospital (Rural)1010 SPRUCE ST
ESPANOLA, NM 87532
(505) 753-7111
1780657841 JACK ANDREW COPELAND MD
Individual
Radiology (Diagnostic Radiology)1010 SPRUCE ST
ESPANOLA, NM 87532
(505) 986-8468
1740206473 PAMELA JEANNE CARLSON CRNA
Individual
Nurse Anesthetist, Certified Registered1010 SPRUCE ST
ESPANOLA, NM 87532
(505) 753-7111
1245324623 DIANNE JOHNSON MD
Individual
Obstetrics & Gynecology (Obstetrics)1010 SPRUCE ST ESPANOLA MULTISPECIALTY CLINIC
ESPANOLA, NM 87532
(505) 563-2500
1326132705 SILVIA C KHALSA MD
Individual
Family Medicine1010 SPRUCE ST ESPANOLA HOSPITAL
ESPANOLA, NM 87532
(505) 753-7111
1053405431 CHELSEA D KIRBY MD
Individual
Pediatrics1010 SPRUCE ST ESPANOLA MULTISPECIALTY CLINIC
ESPANOLA, NM 87532
(505) 753-8031
1528152907 DONALD W HASSEMER MD
Individual
Family Medicine1010 SPRUCE ST ESPANOLA MULTISPECIALTY CLINIC
ESPANOLA, NM 87532
(505) 753-8031
1295829679 RAJAN K MIRCHANDANI MD
Individual
Internal Medicine1010 SPRUCE ST ESPANOLA HOSPITAL PMG CLINIC
ESPANOLA, NM 87532
(505) 367-0340
1922192319 BRUCE A LEGLER MD
Individual
Radiology (Diagnostic Radiology)1010 SPRUCE ST ESPANOLA HOSPITAL
ESPANOLA, NM 87532
(505) 753-7111
1477647865 VALERIE MERL MD
Individual
Emergency Medicine1010 SPRUCE ST ESPANOLA HOSPITAL
ESPANOLA, NM 87532
(505) 753-7111
1114011509 LARRY L COHEN MD
Individual
Family Medicine1010 SPRUCE ST ESPANOLA HOSPITAL
ESPANOLA, NM 87532
(505) 753-7111
1023102415 KAREN G CONNAUGHTON MD
Individual
Emergency Medicine1010 SPRUCE ST ESPANOLA HOSPITAL
ESPANOLA, NM 87532
(505) 753-7111
1215066766 ENID D LEWIS RD
Individual
Dietitian, Registered1010 SPRUCE ST ESPANOLA HOSPITAL
ESPANOLA, NM 87532
(505) 753-7111
1710015433 JORGE A AGUILAR MD
Individual
Internal Medicine1010 SPRUCE ST ESPANOLA HOSPITAL
ESPANOLA, NM 87532
(505) 753-7111
1184749970 JONATHAN C PEACHEY CFNP
Individual
Nurse Practitioner1010 SPRUCE ST ESPANOLA HOSPITAL
ESPANOLA, NM 87532
(505) 753-7111
1073639977 VIDYA SUBRAMANIAN MD
Individual
Family Medicine1010 SPRUCE ST ESPANOLA MULTI-SPECIALTY CLINIC
ESPANOLA, NM 87532
(505) 367-0340
1235430877 LINDA M. GARCIA-LUCERO MSN, APRN, BC-FNP
Individual
Nurse Practitioner (Family)1010 SPRUCE ST
ESPANOLA, NM 87532
(505) 753-7111
1417233107 TANYA GALLEGOS CFNP
Individual
Nurse Practitioner (Family)1010 SPRUCE ST
ESPANOLA, NM 87532
(505) 753-7111
1265865661DR. ABDU MUKTAR PHARMD
Individual
Pharmacist1010 SPRUCE ST
ESPANOLA, NM 87532
(505) 753-7111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215912191, enumerated in the NPI registry as an "organization" on December 13, 2005

The provider is located at 1010 Spruce St Espanola, Nm 87532 and the phone number is (505) 753-7111

This medical organization specializes in Home Health with taxonomy code 251E00000X

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 13, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.