MEDICARE: SANDIA VISTA HOME CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	3336H0001X	Home Infusion Therapy Pharmacy
3	343900000X	Non-emergency Medical Transport (VAN)
4	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1598612798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANDIA VISTA HOME CARE LLC

Provider Business Mailing Address
First Line	:	7324 NAGOYA RD NE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87144-3530
Country	:	US
Telephone Number	:	505-440-3037
Fax Number	:

Provider Business Practice Location Address
First Line	:	7324 NAGOYA RD NE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87144-3530
Country	:	US
Telephone Number	:	505-440-3037
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. MELISSA E CHAVEZ
Credential	:
Telephone Number	:	505-440-3037

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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