MEDICARE: CONFIDENT CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1316316441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONFIDENT CARE, INC.

Provider Business Mailing Address
First Line	:	9504 VISTA CASITAS DR NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87114-3723
Country	:	US
Telephone Number	:	505-792-2318
Fax Number	:	505-897-5033

Provider Business Practice Location Address
First Line	:	9504 VISTA CASITAS DR NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87114-3723
Country	:	US
Telephone Number	:	505-792-2318
Fax Number	:	505-897-5033

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JUDY KAY THOMPSON
Credential	:	M.S.
Telephone Number	:	505-792-2318

Provider Enumeration Date	:	09/18/2015
Last Update Date	:	09/18/2015

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