Healthcare Provider Details

I. General information

NPI: 1285659003
Provider Name (Legal Business Name): MESILLA VALLEY HOSPICE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

299 MONTANA AVE
LAS CRUCES NM
88005-3223
US

IV. Provider business mailing address

299 MONTANA AVE
LAS CRUCES NM
88005-3223
US

V. Phone/Fax

Practice location:
  • Phone: 575-523-4700
  • Fax: 575-525-5775
Mailing address:
  • Phone: 575-523-4700
  • Fax: 575-525-5775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number6139
License Number StateNM

VIII. Authorized Official

Name: LORRAINE PADILLA
Title or Position: CEO
Credential:
Phone: 575-523-4700