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EVERSHINE CARE LLC NPI 1043688088


NPI Information

NPI: 1043688088
Provider Name: EVERSHINE CARE, LLC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
4844 CALLE BELLA AVE
LAS CRUCES, NM
ZIP 88012
Phone: (575) 382-5973
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EVERSHINE CARE, LLC is an intermediate care facility mentally retarded in Las Cruces, NM. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. EVERSHINE CARE, LLC NPI is 1043688088. The provider is registered as an organization entity type.

The provider's business location address is:

4844 CALLE BELLA AVE
LAS CRUCES, NM
ZIP 88012-066
Phone: (575) 382-5973

The provider's authorized official is Ivan Nnamdi Nwaogu .
The authorized official title is Administrator and has the following contact phone number (575) 382-5973.

The enumeration date for this NPI number is 9/8/2015 and was last updated on 9/8/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual Disabilities1T3533NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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