Provider Demographics
NPI:1174631865
Name:NEW MEXICO HOME AND HEALTH CARE INC
Entity Type:Organization
Organization Name:NEW MEXICO HOME AND HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-815-9224
Mailing Address - Street 1:PO BOX 724
Mailing Address - Street 2:
Mailing Address - City:TUCUMCARI
Mailing Address - State:NM
Mailing Address - Zip Code:88401-0724
Mailing Address - Country:US
Mailing Address - Phone:575-815-9224
Mailing Address - Fax:575-769-1735
Practice Address - Street 1:117 W HIGH ST
Practice Address - Street 2:
Practice Address - City:TUCUMCARI
Practice Address - State:NM
Practice Address - Zip Code:88401-2809
Practice Address - Country:US
Practice Address - Phone:575-815-9224
Practice Address - Fax:575-769-1735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service