Healthcare Provider Details

I. General information

NPI: 1326596388
Provider Name (Legal Business Name): HOUSE CALLS TO YOU
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2016
Last Update Date: 09/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 HIGHWAY 344 SUITE 5
EDGEWOOD NM
87015-7107
US

IV. Provider business mailing address

95 HIGHWAY 344 SUITE 5
EDGEWOOD NM
87015-7107
US

V. Phone/Fax

Practice location:
  • Phone: 505-377-0004
  • Fax: 505-286-7735
Mailing address:
  • Phone: 505-377-0004
  • Fax: 505-286-7735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE BACHARKA
Title or Position: CEO
Credential: RN
Phone: 505-377-0004