Provider Demographics
NPI:1588234553
Name:SANTA FE SACRED FAITH HOME CARE
Entity Type:Organization
Organization Name:SANTA FE SACRED FAITH HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:HILDA
Authorized Official - Last Name:HILDA PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:575-589-9000
Mailing Address - Street 1:6501 SOUTHWIND DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-3235
Mailing Address - Country:US
Mailing Address - Phone:915-549-3901
Mailing Address - Fax:
Practice Address - Street 1:6501 SOUTHWIND DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-3235
Practice Address - Country:US
Practice Address - Phone:915-549-3901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health