Healthcare Provider Details

I. General information

NPI: 1922121334
Provider Name (Legal Business Name): COORDINATED HOME HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 W BOUTZ RD BLDG 2
LAS CRUCES NM
88005-3259
US

IV. Provider business mailing address

205 W BOUTZ RD BLDG 2
LAS CRUCES NM
88005-3259
US

V. Phone/Fax

Practice location:
  • Phone: 505-524-0332
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MARIA LUJAN
Title or Position: CFO
Credential:
Phone: 505-524-0332