Provider Demographics
NPI:1215824917
Name:SOUTHSTAR CAREGIVING SOLUTIONS LLC
Entity type:Organization
Organization Name:SOUTHSTAR CAREGIVING SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-507-0455
Mailing Address - Street 1:10727 BUCK ISLAND RD SW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87121-2646
Mailing Address - Country:US
Mailing Address - Phone:505-717-6601
Mailing Address - Fax:
Practice Address - Street 1:10727 BUCK ISLAND RD SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87121-2646
Practice Address - Country:US
Practice Address - Phone:505-717-6601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
No253Z00000XAgenciesIn Home Supportive Care