Healthcare Provider Details

I. General information

NPI: 1134866296
Provider Name (Legal Business Name): CARE AT HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2022
Last Update Date: 07/29/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 MAIN ST NE STE C103
LOS LUNAS NM
87031-7421
US

IV. Provider business mailing address

1202 MAIN ST NE STE C103
LOS LUNAS NM
87031-7421
US

V. Phone/Fax

Practice location:
  • Phone: 505-515-0001
  • Fax:
Mailing address:
  • Phone: 505-515-0001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. LINDA SCHAFFER
Title or Position: OWNER
Credential:
Phone: 505-515-0001