Provider Demographics
NPI:1013272707
Name:ABARIM HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:ABARIM HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-503-8262
Mailing Address - Street 1:11000 CANDELARIA RD NE STE 102W
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-1767
Mailing Address - Country:US
Mailing Address - Phone:505-503-8262
Mailing Address - Fax:505-503-8270
Practice Address - Street 1:11000 CANDELARIA RD NE STE 102W
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-1767
Practice Address - Country:US
Practice Address - Phone:505-503-8262
Practice Address - Fax:505-503-8270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMFA0085148251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based