Healthcare Provider Details

I. General information

NPI: 1437838687
Provider Name (Legal Business Name): ENHANCING LIFE CARE PROVIDERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 KOOGLE ROAD
ANTHONY NM
88021
US

IV. Provider business mailing address

100 APACHE SILVER
SANTA TERESA NM
88008-9474
US

V. Phone/Fax

Practice location:
  • Phone: 575-680-4633
  • Fax: 575-613-7130
Mailing address:
  • Phone: 575-680-4633
  • Fax: 575-613-7130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH LIMON
Title or Position: OWNER, FINANCE MANAGER
Credential:
Phone: 915-202-2479