SPECIAL CARE AT HOME, INC NPI 1003044629

In Home Supportive Care in Gallup, NM

NPI 1003044629 Organization In Home Supportive Care

About SPECIAL CARE AT HOME, INC

Special Care At Home, Inc is a provider established in Gallup, New Mexico specializing in in home supportive care. The NPI number of Special Care At Home, Inc is 1003044629 and was assigned on June 2009. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mrs. Katherine Benally (Board President)

NPI

1003044629

Provider NameSPECIAL CARE AT HOME, INC
Provider Location Address1020 WEST MALONEY SUITE B GALLUP, NM 87301
Provider Mailing AddressPO BOX 4554 YATAHEY, NM 87375
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-23-2009
Last Update Date06-23-2009


Primary Taxonomy

Taxonomy Code253Z00000X
ClassificationIn Home Supportive Care
TypeAgencies
Taxonomy DescriptionAn In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Business Address

SPECIAL CARE AT HOME, INC
1020 WEST MALONEY
SUITE B
GALLUP, NM
ZIP 87301
Phone: (505) 726-2890
Fax: (505) 722-8941

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Mailing Address

SPECIAL CARE AT HOME, INC
PO BOX 4554
YATAHEY, NM
ZIP 87375
Phone: (505) 726-2890
Fax: (505) 722-8941



Authorized Official

Authorized Official NameMRS. KATHERINE BENALLY
Authorized Official TitleBOARD PRESIDENT
Authorized Official Phone(505) 726-2890

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.