Provider Demographics
NPI:1568070084
Name:NIGHTINGALE NURSING AND HOME HEALTH LLC
Entity Type:Organization
Organization Name:NIGHTINGALE NURSING AND HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HAIDE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-920-3881
Mailing Address - Street 1:3201 ZAFARANO DR STE C454
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-2672
Mailing Address - Country:US
Mailing Address - Phone:505-310-4450
Mailing Address - Fax:
Practice Address - Street 1:3201 ZAFARANO DR STE C454
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-2672
Practice Address - Country:US
Practice Address - Phone:505-310-4450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty