Provider Demographics
NPI:1790568178
Name:CAREVIBE HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:CAREVIBE HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:NJUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-236-9811
Mailing Address - Street 1:4405 JAGER DR NE STE C4
Mailing Address - Street 2:STE C4 PMB 1045
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-5715
Mailing Address - Country:US
Mailing Address - Phone:505-236-9811
Mailing Address - Fax:
Practice Address - Street 1:4405 JAGER DR NE STE C4
Practice Address - Street 2:STE C4 PMB 1045
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-5715
Practice Address - Country:US
Practice Address - Phone:505-236-9811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service