Desert Care Corp

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

DESERT CARE CORP

Doing business as

Sun Country Care Management

Practice address

133 Wyatt Dr
Suite 4
Las Cruces, NM 88005-2962

Phone

(505) 525-1969

Fax

(505) 525-9567

NPI assigned

Jan 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kelly Mosley

Title

Human Resources

Phone

(505) 525-1969

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sun Country Care Management Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346394558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 WYATT DR",
            "address_2": "SUITE 4",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052962",
            "telephone_number": "505-525-1969",
            "fax_number": "505-525-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 WYATT DR",
            "address_2": "SUITE 4",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052962",
            "telephone_number": "505-525-1969",
            "fax_number": "505-525-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "HUMAN RESOURCES",
        "authorized_official_telephone_number": "505-525-1969",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D0325",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Country Care Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Derouen
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• Desert Elite Family Dental PLLC (Desert Dental)
• Desert Haven
• Desert Peaks Dental LLC
• Desert Peaks Surgery Center LLC

• Case Management Agency in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Case Management Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.