Healthcare Provider Details

I. General information

NPI: 1255312997
Provider Name (Legal Business Name): CARING ANGELS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 08/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2207 FERGUSON RD
CARLSBAD NM
88220
US

IV. Provider business mailing address

2207 FERGUSON RD
CARLSBAD NM
88220
US

V. Phone/Fax

Practice location:
  • Phone: 575-941-3030
  • Fax: 575-941-3524
Mailing address:
  • Phone: 575-941-3030
  • Fax: 575-941-3524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number327172
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNM
# 3
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. TAMMY LOWE
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 575-941-3030