Provider Demographics
NPI:1417208117
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?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-21
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3384251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health