Healthcare Provider Details

I. General information

NPI: 1326889502
Provider Name (Legal Business Name): LAS CRUCES CAREGIVING COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 S MAIN ST STE 200
LAS CRUCES NM
88005-2953
US

IV. Provider business mailing address

930 WEBSTER AVE
WACO TX
76706-1544
US

V. Phone/Fax

Practice location:
  • Phone: 575-339-6444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JACOB NEUBERT
Title or Position: OWNER
Credential:
Phone: 254-566-5765