MEDICARE: NEXUMHC NM

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1629894241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXUMHC NM

Provider Business Mailing Address
First Line	:	6134 N BERNARD ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-2212
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1209 MOUNTAIN ROAD PL NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-7845
Country	:	US
Telephone Number	:	773-887-6150
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ARON MOORE
Credential	:
Telephone Number	:	773-887-6150

Provider Enumeration Date	:	11/27/2024
Last Update Date	:	01/07/2026

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