Provider Demographics
NPI:1205367968
Name:HUMMINGBIRD HOME HEALTH CARE
Entity Type:Organization
Organization Name:HUMMINGBIRD HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALDIVAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-517-6907
Mailing Address - Street 1:PO BOX 144
Mailing Address - Street 2:
Mailing Address - City:SOCORRO
Mailing Address - State:NM
Mailing Address - Zip Code:87801-0144
Mailing Address - Country:US
Mailing Address - Phone:575-517-6907
Mailing Address - Fax:
Practice Address - Street 1:27 FITCH AVENUE
Practice Address - Street 2:
Practice Address - City:LEMITAR
Practice Address - State:NM
Practice Address - Zip Code:87823-0144
Practice Address - Country:US
Practice Address - Phone:575-517-6907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-24
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health