MEDICARE: ADVANCED CARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1407790561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	3806 WINTERGREEN RD
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88012-0873
Country	:	US
Telephone Number	:	575-323-4031
Fax Number	:	575-323-4031

Provider Business Practice Location Address
First Line	:	3806 WINTERGREEN RD
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88012-0873
Country	:	US
Telephone Number	:	575-323-4031
Fax Number	:	575-323-4031

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ALEXIS MCVAY
Credential	:
Telephone Number	:	575-323-4031

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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