Healthcare Provider Details

I. General information

NPI: 1649680752
Provider Name (Legal Business Name): CARE-A-VAN SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2014
Last Update Date: 04/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

726 E MICHIGAN DR STE 530
HOBBS NM
88240-3467
US

IV. Provider business mailing address

PO BOX 6044
HOBBS NM
88241-6044
US

V. Phone/Fax

Practice location:
  • Phone: 505-397-2801
  • Fax:
Mailing address:
  • Phone: 505-397-2801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNM

VIII. Authorized Official

Name: MS. PAMELA DENISE EVANS
Title or Position: DIRECTOR
Credential:
Phone: 575-397-2801