Provider Demographics
NPI:1134685902
Name:HELP AT HOME LLC
Entity Type:Organization
Organization Name:HELP AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:575-571-0142
Mailing Address - Street 1:4708 RIMROCK DR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88012-5076
Mailing Address - Country:US
Mailing Address - Phone:575-571-0142
Mailing Address - Fax:
Practice Address - Street 1:151 N ROADRUNNER PKWY APT 103
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-7021
Practice Address - Country:US
Practice Address - Phone:575-557-1014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-15
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care