Healthcare Provider Details

I. General information

NPI: 1356760383
Provider Name (Legal Business Name): ALWAYS THERE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2014
Last Update Date: 04/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

857 S HILL RD
BERNALILLO NM
87004-9075
US

IV. Provider business mailing address

857 S HILL RD
BERNALILLO NM
87004-9075
US

V. Phone/Fax

Practice location:
  • Phone: 505-771-2075
  • Fax: 505-771-2217
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number18835732
License Number StateNM

VIII. Authorized Official

Name: ERICA SCALES
Title or Position: CO/OWNER
Credential:
Phone: 505-771-2075