Healthcare Provider Details

I. General information

NPI: 1578427431
Provider Name (Legal Business Name): HEART OF NEW MEXICO HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 MONTERREY RD NE
RIO RANCHO NM
87144-1584
US

IV. Provider business mailing address

1500 MONTERREY RD NE
RIO RANCHO NM
87144-1584
US

V. Phone/Fax

Practice location:
  • Phone: 505-644-0685
  • Fax: 505-557-1156
Mailing address:
  • Phone: 505-644-0685
  • Fax: 505-557-1156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TRANON BASHTON
Title or Position: OWNER
Credential:
Phone: 505-644-0685