Healthcare Provider Details

I. General information

NPI: 1912853763
Provider Name (Legal Business Name): CARES ON THE WHEELS USA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 S SIXTH ST
GALLUP NM
87301-5833
US

IV. Provider business mailing address

811 S SIXTH ST
GALLUP NM
87301-5833
US

V. Phone/Fax

Practice location:
  • Phone: 505-387-6260
  • Fax:
Mailing address:
  • Phone: 505-387-6260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: JENNETTE RODRIGUEZ GANDIA
Title or Position: OWNER
Credential:
Phone: 505-387-6260