Eduardo Bautista
Individual provider Active NPI In Home Supportive Care Agency · Anthony, NM
NPI 1003607920 · NPPES record last updated May 13, 2025
Key facts
- NPI
- 1003607920
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 224 Anthony Dr Ste B
Anthony, NM 88021-9190 - Phone
- (360) 360-8539
- NPI assigned
- May 13, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Home Health Aide | 374U00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
224 Anthony Dr Ste B
Anthony, NM 88021-9190
Mailing address
224 Anthony Dr Ste B
Anthony, NM 88021-9190
Phone (360) 360-8539
Other providers in Anthony, NM
- B & E Karinghands
- Victor Ball
- Jessica Barnhill
- Cecilia Aurora Barrio
- Ivan Fernando Barrio
- Nancy E Bergman
- Conrado Esteban Bobadill
- Jeanette Brito
- Marisol Cadriel
- Raquel Calderon
All providers in Anthony, NM · In Home Supportive Care Agency in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.