NPI Code Details Logo

NPI 1235869850

NPI 1235869850 : CAREGIVERS OF NEW MEXICO LLC : ALBUQUERQUE, NM

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1235869850
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CAREGIVERS OF NEW MEXICO LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/15/2022
-----------------------------------------------------
    Last Update Date     |    06/15/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3925 CAMINO DEL VALLE SW 
-----------------------------------------------------
    City                 |    ALBUQUERQUE
-----------------------------------------------------
    State                |    NM
-----------------------------------------------------
    Zip                  |    87105-6167
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    505-312-0697
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3925 CAMINO DEL VALLE SW 
-----------------------------------------------------
    City                 |    ALBUQUERQUE
-----------------------------------------------------
    State                |    NM
-----------------------------------------------------
    Zip                  |    87105-6167
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    505-312-0697
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     APRIL  FRAIRE 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    505-312-0697
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    385H00000X
-----------------------------------------------------
    Taxonomy Name        |    Respite Care
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.