Provider Demographics
NPI:1285659003
Name:MESILLA VALLEY HOSPICE, INC
Entity type:Organization
Organization Name:MESILLA VALLEY HOSPICE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALMON
Authorized Official - Suffix:
Authorized Official - Credentials:PHR, SHRM-CP
Authorized Official - Phone:575-525-5734
Mailing Address - Street 1:299 MONTANA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-3223
Mailing Address - Country:US
Mailing Address - Phone:575-523-4700
Mailing Address - Fax:575-525-5775
Practice Address - Street 1:299 MONTANA AVE
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-3223
Practice Address - Country:US
Practice Address - Phone:575-523-4700
Practice Address - Fax:575-525-5775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM6139251G00000X
315D00000X, 315D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community BasedGroup - Multi-Specialty
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM521397546OtherBLUE CROSS BLUE SHIELD OF NEW MEXICO
NML0049Medicaid
1285659003OtherNPI
NM521397546OtherBLUE CROSS BLUE SHIELD OF NEW MEXICO
NM17334OtherPRESBYTERIAN HEALTH PLAN
NML0049Medicaid