Provider Demographics
NPI:1003201526
Name:SANTA FE HOME CARE OF NEW MEXICO, INC.
Entity Type:Organization
Organization Name:SANTA FE HOME CARE OF NEW MEXICO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:HILDA
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-589-9000
Mailing Address - Street 1:100 WYATT DR STE A
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-2922
Mailing Address - Country:US
Mailing Address - Phone:575-589-9000
Mailing Address - Fax:575-589-7000
Practice Address - Street 1:100 WYATT DR STE A
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-2922
Practice Address - Country:US
Practice Address - Phone:575-589-9000
Practice Address - Fax:575-589-7000
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANTA FE HOME CARE OF NEW MEXICO, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-04-01
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM32-7219Medicare PIN