NPIMap

Organization Active NPI

Crandall Home Care LLC

  • In Home Supportive Care Agency
  • Las Cruces, NM
National Provider Identifier
1417810433
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CRANDALL HOME CARE LLC
Practice address
1990 E Lohman Ave Ste 105
Las Cruces, NM 88001-3172
Phone
(575) 449-8177
NPI assigned
Dec 5, 2025
Last updated
Dec 5, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CRANDALL HOME CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Steve Tracy
Title
Managing Member
Phone
(505) 266-6683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1990 E Lohman Ave Ste 105
Las Cruces, NM 88001-3172

Mailing address

PO Box 66539
Albuquerque, NM 87193-6539

National Provider Directory

National Provider Directory
Tax ID family
Crandall Home Care LLC3 organizations share this tax ID, including this one
Part of
Crandall Home Care LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1417810433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66539",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871936539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 E LOHMAN AVE STE 105",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013172",
            "telephone_number": "575-449-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANDALL HOME CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRANDALL HOME CARE LLC",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "505-266-6683"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.