MONTE CRISTO HOME HEALTH LLC
NPI 1003658774
Home Health in Santa Teresa, NM

Q: What is Monte Cristo Home Health LLC's NPI number?

The NPI number for Monte Cristo Home Health LLC is 1003658774. It was assigned to this organization in the NPPES registry on June 12, 2024.

Q: What is Monte Cristo Home Health LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since June 12, 2024CLIA 32D2317692 · Waiver

5805 MCNUTT RD STE D, SANTA TERESA, NM 88008(575) 332-4007(575) 332-4453 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2024, Jun 12, 2024 (2 updates tracked since 2024).

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About Monte Cristo Home Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTE CRISTO HOME HEALTH LLC (NPI 1003658774) is a healthcare organization registered as a home health in Santa Teresa, New Mexico and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through January 28, 2027 and lists Daniel Bustillos, Owner, as its authorized official.

NPPES Registry Identity

NPI1003658774

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameMONTE CRISTO HOME HEALTH LLC

Location Address5805 MCNUTT RD STE DSanta Teresa, NM 88008-8001

Mailing Address5805 Mcnutt Rd Ste DSanta Teresa, NM 88008-8001 · (575) 332-4007 · Fax (575) 332-4453

Phone(575) 332-4007

Fax(575) 332-4453

Organization SubpartNo

Authorized OfficialDaniel BustillosOwner · (915) 244-4966

Enumeration DateJune 12, 2024

Last NPPES UpdateSeptember 6, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2024

✔ NPI 1003658774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

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.

5805 MCNUTT RD STE D, Santa Teresa, NM 88008

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2317692

Monte Cristo Home Health · Santa Teresa, NM

Active · expires Jan 28, 2027

CLIA Number32D2317692

Laboratory TypeHome Health Agency

Certificate Effective DateJanuary 29, 2025

Certificate Expiration DateJanuary 28, 2027

Laboratory DirectorDaniel Bustillos

Laboratory Phone(915) 244-4966

Laboratory LocationMonte Cristo Home Health5805 Mcnutt Rd Suite D, Santa Teresa, NM 88008

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESUS PINA

Community Health Worker