# CRANDALL HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CRANDALL HOME CARE LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780547703
- **Legal business name:** CRANDALL HOME CARE LLC
- **Authorized official:** STEVE TRACY (MANAGING MEMBER)
- **Authorized official phone:** (505) 266-6683

## Contact information

- **Practice address:** 613 N MAIN ST, CLOVIS, NM 88101-6656
- **Practice address phone:** (575) 219-4111
- **Mailing address:** PO BOX 66539, ALBUQUERQUE, NM 87193-6539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2025
- **Last updated:** 12/05/2025