Provider Demographics
NPI:1891734240
Name:ALTOMAR HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:ALTOMAR HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ELIZA
Authorized Official - Middle Name:SYLVIA
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-845-2211
Mailing Address - Street 1:3214 E YANDELL DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79903-4210
Mailing Address - Country:US
Mailing Address - Phone:915-845-2211
Mailing Address - Fax:915-845-0499
Practice Address - Street 1:3214 E YANDELL DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-4210
Practice Address - Country:US
Practice Address - Phone:915-845-2211
Practice Address - Fax:915-845-0499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008592251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX459478Medicare ID - Type UnspecifiedHOME HEALTH AGENCY