Healthcare Provider Details

I. General information

NPI: 1730024985
Provider Name (Legal Business Name): LIFT FAMILY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1209 MOUNTAIN ROAD PL NE STE R
ALBUQUERQUE NM
87110-7825
US

IV. Provider business mailing address

6761 SOUTHFORK RD
PROVO UT
84604-9641
US

V. Phone/Fax

Practice location:
  • Phone: 505-219-4118
  • Fax:
Mailing address:
  • Phone: 505-219-4118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH SCOTT MARTINEAU
Title or Position: CEO
Credential:
Phone: 480-221-9111