Healthcare Provider Details

I. General information

NPI: 1366566705
Provider Name (Legal Business Name): ABQ HOME HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 08/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 LOMAS BLVD NW SUITE B
ALBUQUERQUE NM
87104
US

IV. Provider business mailing address

1600 LOMAS BLVD NW STE B
ALBUQUERQUE NM
87104-1252
US

V. Phone/Fax

Practice location:
  • Phone: 505-217-1786
  • Fax: 505-217-2138
Mailing address:
  • Phone: 505-217-1786
  • Fax: 505-217-2138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BIRDIE READING-SINGLETON
Title or Position: OWNER
Credential:
Phone: 505-217-1786