Healthcare Provider Details

I. General information

NPI: 1811614092
Provider Name (Legal Business Name): POPP CONSULTING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2022
Last Update Date: 10/27/2022
Certification Date: 10/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2533 CAMPBELL RD NW
ALBUQUERQUE NM
87104-3103
US

IV. Provider business mailing address

2533 CAMPBELL RD NW
ALBUQUERQUE NM
87104-3103
US

V. Phone/Fax

Practice location:
  • Phone: 339-206-5556
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JANET POPP
Title or Position: SOLE PROPRIETOR
Credential: PT, MS
Phone: 339-206-5556