Provider Demographics
NPI:1609934900
Name:ALHC OF AMARILLO, INC.
Entity Type:Organization
Organization Name:ALHC OF AMARILLO, INC.
Other - Org Name:ABUNDANT LIFE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCHINAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-373-8940
Mailing Address - Street 1:720 SOUTH TYLER
Mailing Address - Street 2:SUITE 222
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79101-2313
Mailing Address - Country:US
Mailing Address - Phone:806-373-8940
Mailing Address - Fax:806-373-8944
Practice Address - Street 1:720 SOUTH TYLER
Practice Address - Street 2:SUITE 222
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79101-2313
Practice Address - Country:US
Practice Address - Phone:806-373-8940
Practice Address - Fax:806-373-8944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7697251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7697OtherLICENSED HOME HEALTH