Organization
AT HOME GERIATRIC COUNSELING AND CONSULTATION
Active
Organization
AT HOME GERIATRIC COUNSELING AND CONSULTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXROY ANTHONY REID LISW (OWNER)
(505) 710-4278
Entity
Organization
Contact information
Practice address
25 CAMINO COLLADO, EDGEWOOD, NM 87015-9788
(505) 710-4278
(505) 407-4848
Mailing address
25 CAMINO COLLADO, EDGEWOOD, NM 87015-9788
(505) 710-4278
(505) 407-4848
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
I-06926
NM
251B00000X
Case Management Agency
Primary
I-06926
NM
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up