Provider Demographics
NPI:1093136574
Name:ARMADA HOME HEALTHCARE OF SOCORRO LLC
Entity Type:Organization
Organization Name:ARMADA HOME HEALTHCARE OF SOCORRO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:E
Authorized Official - Last Name:TAPIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-264-4325
Mailing Address - Street 1:1039 COTTONWOOD DR NW
Mailing Address - Street 2:
Mailing Address - City:LOS RANCHOS
Mailing Address - State:NM
Mailing Address - Zip Code:87107-6751
Mailing Address - Country:US
Mailing Address - Phone:505-264-4325
Mailing Address - Fax:
Practice Address - Street 1:1039 COTTONWOOD DR NW
Practice Address - Street 2:
Practice Address - City:LOS RANCHOS
Practice Address - State:NM
Practice Address - Zip Code:87107-6751
Practice Address - Country:US
Practice Address - Phone:505-264-4325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-30
Last Update Date:2014-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health