Provider Demographics
NPI:1922329358
Name:AHC HOME HEALTH OF NEW MEXICO LLC
Entity Type:Organization
Organization Name:AHC HOME HEALTH OF NEW MEXICO LLC
Other - Org Name:AHC HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FOREST
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-447-9860
Mailing Address - Street 1:6301 4TH ST NW STE 6
Mailing Address - Street 2:
Mailing Address - City:LOS RANCHOS
Mailing Address - State:NM
Mailing Address - Zip Code:87107-5860
Mailing Address - Country:US
Mailing Address - Phone:505-967-4274
Mailing Address - Fax:
Practice Address - Street 1:6301 4TH ST NW STE 6
Practice Address - Street 2:
Practice Address - City:LOS RANCHOS
Practice Address - State:NM
Practice Address - Zip Code:87107-5860
Practice Address - Country:US
Practice Address - Phone:505-967-4274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LHM MAN HHH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-21
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based