Healthcare Provider Details

I. General information

NPI: 1629894241
Provider Name (Legal Business Name): NEXUMHC NM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2024
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1209 MOUNTAIN ROAD PL NE
ALBUQUERQUE NM
87110-7845
US

IV. Provider business mailing address

6134 N BERNARD ST
CHICAGO IL
60659-2212
US

V. Phone/Fax

Practice location:
  • Phone: 773-887-6150
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ARON MOORE
Title or Position: CEO
Credential:
Phone: 773-887-6150