Healthcare Provider Details

I. General information

NPI: 1518239276
Provider Name (Legal Business Name): NEW MEXICO HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2012
Last Update Date: 09/11/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E 2ND ST STE A
ROSWELL NM
88201-6211
US

IV. Provider business mailing address

3223 S LOOP 289 STE 210
LUBBOCK TX
79423-1352
US

V. Phone/Fax

Practice location:
  • Phone: 575-625-8885
  • Fax: 575-625-8887
Mailing address:
  • Phone: 806-771-0995
  • Fax: 806-771-3813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number3374
License Number StateNM

VIII. Authorized Official

Name: SHELLY LYNN MARKER
Title or Position: PRESIDENT/CEO
Credential: RN
Phone: 806-771-0995