Healthcare Provider Details

I. General information

NPI: 1437060969
Provider Name (Legal Business Name): PB & J FAMILY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 LOPEZ RD SW
ALBUQUERQUE NM
87105-3954
US

IV. Provider business mailing address

1101 LOPEZ RD SW
ALBUQUERQUE NM
87105-3954
US

V. Phone/Fax

Practice location:
  • Phone: 505-877-7060
  • Fax: 505-877-7063
Mailing address:
  • Phone: 505-877-7060
  • Fax: 505-877-7063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER THOMPSON
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 505-249-0736