Healthcare Provider Details

I. General information

NPI: 1760354716
Provider Name (Legal Business Name): HEALTHY FAMILIES SIERRA COUNTY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2025
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N BROADWAY ST
TRUTH OR CONSEQUENCES NM
87901-2836
US

IV. Provider business mailing address

400 N BROADWAY ST
TRUTH OR CONSEQUENCES NM
87901-2836
US

V. Phone/Fax

Practice location:
  • Phone: 575-223-2585
  • Fax:
Mailing address:
  • Phone: 575-223-2585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JESSICA LUTHER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 575-223-2585