Provider Demographics
NPI:1326405382
Name:C&B HOMECARE
Entity Type:Organization
Organization Name:C&B HOMECARE
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:MR
Authorized Official - Phone:505-506-3795
Mailing Address - Street 1:4300 CARLISLE BLVD NE
Mailing Address - Street 2:STE. 2
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-4827
Mailing Address - Country:US
Mailing Address - Phone:505-506-3795
Mailing Address - Fax:505-881-3328
Practice Address - Street 1:4300 CARLISLE BLVD NE
Practice Address - Street 2:STE. 2
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-4827
Practice Address - Country:US
Practice Address - Phone:505-506-3795
Practice Address - Fax:505-881-3328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care