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NPI Code Detail

MEDICARE: NEW MEXICO HEALTHCARE SERVICES, LLC

MEDICARE: NEW MEXICO HEALTHCARE SERVICES, LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2251J00000XNursing Care Agency
3225100000XPhysical Therapist
4225X00000XOccupational Therapist
5251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13341OTHERNMSTATE OPERATOR LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
332D2036525OTHERCLIA

General Provider Information

NPI Number : 1528386513
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW MEXICO HEALTHCARE SERVICES, LLC
Provider Business Mailing Address
First Line : 101 W RENNER RD STE 420
Second Line :
City : RICHARDSON
State : TX
Zip : 75082-2022
Country : US
Telephone Number : 877-525-3338
Fax Number :
Provider Business Practice Location Address
First Line : 570 N TELSHOR BLVD
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-8223
Country : US
Telephone Number : 575-226-4663
Fax Number : 575-226-4666
Authorized Official
Title or Position : PRESIDENT/CEO
Name : JOHN BRANDON DURBIN
Credential :
Telephone Number : 469-361-0120
Provider Enumeration Date : 05/14/2010
Last Update Date : 04/15/2026

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Directions to “NEW MEXICO HEALTHCARE SERVICES, LLC ” Practice Location

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