Provider Demographics
NPI:1356496368
Name:HOME HEALTH INNOVATIONS, INC.
Entity Type:Organization
Organization Name:HOME HEALTH INNOVATIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:P
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:505-881-4601
Mailing Address - Street 1:7215 WASHINGTON ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-4518
Mailing Address - Country:US
Mailing Address - Phone:505-881-4601
Mailing Address - Fax:505-881-4647
Practice Address - Street 1:7215 WASHINGTON ST NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-4518
Practice Address - Country:US
Practice Address - Phone:505-881-4601
Practice Address - Fax:505-881-4647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1T3243251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM1T3243OtherHOME HEALTH AGENCY LICENS