Healthcare Provider Details

I. General information

NPI: 1730861576
Provider Name (Legal Business Name): LONDA'S HEALING CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2023
Last Update Date: 08/02/2023
Certification Date: 08/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2657 CARSON CT
LAS CRUCES NM
88011-9023
US

IV. Provider business mailing address

2657 CARSON CT
LAS CRUCES NM
88011-9023
US

V. Phone/Fax

Practice location:
  • Phone: 505-419-2255
  • Fax:
Mailing address:
  • Phone: 505-419-2255
  • 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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: YOLANDA BISHOP
Title or Position: CEO
Credential: RN
Phone: 505-419-2255