Provider Demographics
NPI:1225304637
Name:NURSES WITH HEART HOME CARE LLC
Entity Type:Organization
Organization Name:NURSES WITH HEART HOME CARE LLC
Other - Org Name:NURSES WITH HEART HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF NURSING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELAIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PONTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:505-424-9099
Mailing Address - Street 1:1596 PACHECO ST STE 109
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-3960
Mailing Address - Country:US
Mailing Address - Phone:505-424-9099
Mailing Address - Fax:505-424-9733
Practice Address - Street 1:1596 PACHECO ST STE 109
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-3960
Practice Address - Country:US
Practice Address - Phone:505-424-9099
Practice Address - Fax:505-424-9733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-29
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163WH0200X, 374U00000X
NM3389251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty