Healthcare Provider Details

I. General information

NPI: 1104063544
Provider Name (Legal Business Name): NEXT PHASE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2009
Last Update Date: 07/31/2024
Certification Date: 07/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 S MAIN ST
ROSWELL NM
88203-5568
US

IV. Provider business mailing address

1410 S MAIN ST.
ROSWELL NM
88203-5568
US

V. Phone/Fax

Practice location:
  • Phone: 575-624-9999
  • Fax: 575-624-7777
Mailing address:
  • Phone: 575-624-9999
  • Fax: 575-624-7777

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: MRS. CINDY L LEWIS
Title or Position: PRESIDENT
Credential:
Phone: 575-624-9999