MEDICARE: SANTA FE HOME CARE OF NEW MEXICO, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251J00000X	Nursing Care Agency
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1003201526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTA FE HOME CARE OF NEW MEXICO, INC.

Provider Business Mailing Address
First Line	:	100 WYATT DR STE A
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88005-2922
Country	:	US
Telephone Number	:	575-589-9000
Fax Number	:	575-589-7000

Provider Business Practice Location Address
First Line	:	100 WYATT DR STE A
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88005-2922
Country	:	US
Telephone Number	:	575-589-9000
Fax Number	:	575-589-7000

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MARGARITA HILDA PEREZ
Credential	:
Telephone Number	:	575-589-9000

Provider Enumeration Date	:	04/01/2015
Last Update Date	:	12/10/2020

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