Provider Demographics
NPI:1861222622
Name:AOC NEW MEXICO, LLC
Entity type:Organization
Organization Name:AOC NEW MEXICO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:903-532-3187
Mailing Address - Street 1:7300 STATE HIGHWAY 121 STE 250
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-1991
Mailing Address - Country:US
Mailing Address - Phone:210-875-0853
Mailing Address - Fax:
Practice Address - Street 1:500 MARQUETTE AVE NW STE 1209
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-5340
Practice Address - Country:US
Practice Address - Phone:214-488-8905
Practice Address - Fax:903-532-1401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health