Healthcare Provider Details

I. General information

NPI: 1881577419
Provider Name (Legal Business Name): SANTA FE SENIOR CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 LUISA ST STE S
SANTA FE NM
87505-4073
US

IV. Provider business mailing address

8804 CAMINO DEL VENADO NW
ALBUQUERQUE NM
87120-7131
US

V. Phone/Fax

Practice location:
  • Phone: 505-596-7728
  • Fax:
Mailing address:
  • Phone: 505-315-5686
  • 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: SKYLR CORLEY
Title or Position: OWNER
Credential:
Phone: 505-315-5686