Organization
AMERICARE HEALTH SERVICES CORPORATION
Active
Organization
AMERICARE HEALTH SERVICES CORPORATION
Active
Other names
Americare
Organization subpart
No
Provider details
NPI number
Authorized official
PETER NYLAND (PRESIDENT-DIRECTOR)
(505) 821-3355
Entity
Organization
Contact information
Practice address
101 SUN AVE NE, ALBUQUERQUE, NM 87109-4373
(505) 468-4678
(505) 468-8013
Mailing address
101 SUN AVE NE, COMPLIANCE DEPARTMENT, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1477
—
332BN1400X
Nursing Facility Supplies (DME)
1477
GA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
1477
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000515699A
—
GA
05
—
009105980
—
AL
05
—
011269001
—
TX
05
—
1188573
—
LA
05
—
200251170A
—
IN
05
—
2229565
—
OH
05
—
30761325
—
NH
05
—
4581494
—
TN
05
—
48755508
—
CO
05
—
561101
—
AZ
05
—
625357009
—
MO
05
—
7702040
—
NC
05
—
804002800
—
MD
05
—
806032400
—
ID
05
—
90003112
—
KY
05
—
9107282
—
VA
05
—
G4622
—
NM
Enumeration date
06/11/2006
Last updated
12/08/2011
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