Healthcare Provider Details

I. General information

NPI: 1215659727
Provider Name (Legal Business Name): WARMTH AND LOVING HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2022
Last Update Date: 04/17/2023
Certification Date: 04/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 MONTOYA ST NW
ALBUQUERQUE NM
87104-1936
US

IV. Provider business mailing address

1307 MONTOYA ST NW
ALBUQUERQUE NM
87104-1936
US

V. Phone/Fax

Practice location:
  • Phone: 505-203-8747
  • Fax:
Mailing address:
  • Phone: 505-203-8747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARTHA YOLANDA CORDOVA
Title or Position: OWNER
Credential:
Phone: 505-203-8747