Healthcare Provider Details

I. General information

NPI: 1316333420
Provider Name (Legal Business Name): ALLCARE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2015
Last Update Date: 04/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 S WALNUT ST STE C9
LAS CRUCES NM
88001-2619
US

IV. Provider business mailing address

1515 CESSNA DR STE 201
EL PASO TX
79925-2554
US

V. Phone/Fax

Practice location:
  • Phone: 915-383-8578
  • Fax:
Mailing address:
  • Phone:
  • 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: JESUS RODRIGUEZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 915-383-8578