Healthcare Provider Details

I. General information

NPI: 1407790561
Provider Name (Legal Business Name): ADVANCED CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3806 WINTERGREEN RD
LAS CRUCES NM
88012-0873
US

IV. Provider business mailing address

3806 WINTERGREEN RD
LAS CRUCES NM
88012-0873
US

V. Phone/Fax

Practice location:
  • Phone: 575-323-4031
  • Fax: 575-323-4031
Mailing address:
  • Phone: 575-323-4031
  • Fax: 575-323-4031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: ALEXIS MCVAY
Title or Position: DIRECTOR
Credential:
Phone: 575-323-4031