# INDEPENDENCE CARE OF NEW MEXICO AT ALBUQUERQUE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124862537
- **Authorized official:** PHILIP VIAR (CEO)
- **Authorized official phone:** (603) 520-1603

## Contact information

- **Practice address:** 6565 AMERICAS PKWY NE STE 200, ALBUQUERQUE, NM 87110-8172
- **Practice address phone:** (603) 520-1603
- **Practice address fax:** (412) 312-8382
- **Mailing address:** 3301 BONITA BEACH RD STE 208, BONITA SPRINGS, FL 34134-7835
- **Mailing address phone:** (603) 520-1603
- **Mailing address fax:** (412) 312-3828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2024
- **Last updated:** 05/28/2026
