Individual ProviderNichole AlireCase Manager/Care CoordinatorOther Service ProvidersPractice Address5601 Domingo Rd NE, Albuquerque, NM 87108-1610(052) 685-2955PECOS EnrollmentBased on the most recent information from CMS, provider Nichole Alire does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1790462919Provider TypeIndividualFull NameAlire, NicholeCredentialCPSWGenderFemaleSole ProprietorNoEnumeration Date6/29/2023Last Updated9/4/2024Contact InformationPractice LocationPractice Address5601 Domingo Rd NE, Albuquerque, NM 87108-1610Phone(052) 685-2955FaxUnlisted FaxMailing LocationMailing Address149 Jackson St NE, Albuquerque, NM 87108-1339PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer