MEDICARE: CARLSBAD LIFEHOUSE INC

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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1588521579
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARLSBAD LIFEHOUSE INC

Provider Business Mailing Address
First Line	:	PO BOX 3141
Second Line	:
City	:	CARLSBAD
State	:	NM
Zip	:	88221-3141
Country	:	US
Telephone Number	:	575-725-5552
Fax Number	:	575-725-5552

Provider Business Practice Location Address
First Line	:	2324 W PIERCE ST
Second Line	:
City	:	CARLSBAD
State	:	NM
Zip	:	88220-3514
Country	:	US
Telephone Number	:	575-725-5552
Fax Number	:	575-725-5552

Authorized Official
Title or Position	:	CREDENTIALING
Name	:	TIFFINEY FITZGERALD
Credential	:
Telephone Number	:	575-725-5552

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	02/03/2026

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Directions to “CARLSBAD LIFEHOUSE INC ” Practice Location

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