Provider Demographics
NPI:1699378935
Name:NM HOME CARE GROUP LLC
Entity Type:Organization
Organization Name:NM HOME CARE GROUP LLC
Other - Org Name:FOOTPRINTS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-828-3918
Mailing Address - Street 1:4811 HARDWARE DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-2017
Mailing Address - Country:US
Mailing Address - Phone:505-364-3454
Mailing Address - Fax:
Practice Address - Street 1:8205 SPAIN RD NE STE 211
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3179
Practice Address - Country:US
Practice Address - Phone:505-828-3918
Practice Address - Fax:505-821-6130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-19
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care