CORNELIUS R MACKEY NPI 1124755756

NPI Information

NPI: 1124755756
Provider Name: CORNELIUS R MACKEY
Classification: Technician - 3747A0650X
Entity Type: Individual

Specialization: Attendant Care Provider

Address:
4706 LEON GRANDE AVE SE
RIO RANCHO, NM
ZIP 87124
Phone: (505) 934-4431
Get Directions

Cornelius R Mackey is an attendant care provider technician in Rio Rancho, NM. The provider is an individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. Cornelius R Mackey NPI is 1124755756. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4706 LEON GRANDE AVE SE
RIO RANCHO, NM
ZIP 87124-303
Phone: (505) 934-4431

The enumeration date for this NPI number is 8/3/2022 and was last updated on 8/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	376J00000X	Homemaker				No
2	3747A0650X	Technician	Attendant Care Provider			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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