Provider Demographics
NPI:1033280243
Name:TOTAL CARE AT HOME, INC.
Entity Type:Organization
Organization Name:TOTAL CARE AT HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF CORPORATION
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:PFEIFFER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:505-393-7997
Mailing Address - Street 1:PO BOX 5206
Mailing Address - Street 2:
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88241-5206
Mailing Address - Country:US
Mailing Address - Phone:505-393-7997
Mailing Address - Fax:505-393-7988
Practice Address - Street 1:1706 N DAL PASO ST
Practice Address - Street 2:
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-3041
Practice Address - Country:US
Practice Address - Phone:505-393-7997
Practice Address - Fax:505-393-7988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM6507251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMD2571Medicaid
NMZ8449Medicaid