Individual ProviderJakeryan Carhart BurnsCase Manager/Care CoordinatorOther Service ProvidersPractice Address504 Dakota St SE, Albuquerque, NM 87108-3820(505) 977-3560PECOS EnrollmentBased on the most recent information from CMS, provider Jakeryan Carhart Burns 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 ID1962073940Provider TypeIndividualFull NameBurns, Jakeryan CarhartCredentialNCGGenderMaleSole ProprietorNoEnumeration Date7/9/2021Last Updated7/9/2021Contact InformationPractice LocationPractice Address504 Dakota St SE, Albuquerque, NM 87108-3820Phone(505) 977-3560FaxUnlisted FaxMailing LocationMailing Address239 Elm St NE, Albuquerque, NM 87102-3672PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerNew MexicoCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer