Healthcare Provider Details

I. General information

NPI: 1033280243
Provider Name (Legal Business Name): TOTAL CARE AT HOME, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1706 N DAL PASO ST
HOBBS NM
88240-3041
US

IV. Provider business mailing address

PO BOX 5206
HOBBS NM
88241-5206
US

V. Phone/Fax

Practice location:
  • Phone: 505-393-7997
  • Fax: 505-393-7988
Mailing address:
  • Phone: 505-393-7997
  • Fax: 505-393-7988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number6507
License Number StateNM

VIII. Authorized Official

Name: JAN C. PFEIFFER
Title or Position: PRESIDENT OF CORPORATION
Credential: R.N.
Phone: 505-393-7997