Healthcare Provider Details
I. General information
NPI: 1013272707
Provider Name (Legal Business Name): ABARIM HOME HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/09/2012
Last Update Date: 07/11/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1100 RHODE ISLAND ST NE
ALBUQUERQUE NM
87110-7806
US
IV. Provider business mailing address
11000 CANDELARIA RD NE STE 102W
ALBUQUERQUE NM
87112-1767
US
V. Phone/Fax
- Phone: 505-503-8262
- Fax: 505-503-8270
- Phone: 505-503-8262
- Fax: 505-503-8270
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | FA0085148 |
| License Number State | NM |
VIII. Authorized Official
Name:
ANDRES
URRUTIA
Title or Position: PRESIDENT
Credential:
Phone: 505-503-8262