Provider Demographics
NPI:1851286710
Name:KDPL CARE SERVICES
Entity type:Organization
Organization Name:KDPL CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:LONGORIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-499-7868
Mailing Address - Street 1:303 MOORE DR
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220-6252
Mailing Address - Country:US
Mailing Address - Phone:575-499-7868
Mailing Address - Fax:
Practice Address - Street 1:303 MOORE DR
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-6252
Practice Address - Country:US
Practice Address - Phone:575-499-7868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KDHL HOLDINGS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health