Provider Demographics
NPI:1235681115
Name:CAREGIVERS IN YOUR HOME, LLC
Entity Type:Organization
Organization Name:CAREGIVERS IN YOUR HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:GABALDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-327-4838
Mailing Address - Street 1:2014 SAN JUAN BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87401-2240
Mailing Address - Country:US
Mailing Address - Phone:505-327-4838
Mailing Address - Fax:505-325-2334
Practice Address - Street 1:2014 SAN JUAN BLVD STE F
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-2240
Practice Address - Country:US
Practice Address - Phone:505-327-4838
Practice Address - Fax:505-325-2334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM03-358075-008251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health