Healthcare Provider Details

I. General information

NPI: 1922329358
Provider Name (Legal Business Name): AHC HOME HEALTH OF NEW MEXICO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2010
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6301 4TH ST NW STE 6
LOS RANCHOS NM
87107-5860
US

IV. Provider business mailing address

6301 4TH ST NW STE 6
LOS RANCHOS NM
87107-5860
US

V. Phone/Fax

Practice location:
  • Phone: 505-967-4274
  • Fax:
Mailing address:
  • Phone: 505-967-4274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: FOREST ARNETT
Title or Position: PRESIDENT
Credential:
Phone: 385-622-4500