Provider Demographics
NPI:1750754842
Name:ALL ABOUT YOU , HOMEHEALTHCARE LLC
Entity type:Organization
Organization Name:ALL ABOUT YOU , HOMEHEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAPIA
Authorized Official - Suffix:
Authorized Official - Credentials:PROVIDER
Authorized Official - Phone:505-990-4548
Mailing Address - Street 1:3620 WYOMING BLVD NE STE L5
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3252
Mailing Address - Country:US
Mailing Address - Phone:505-990-4548
Mailing Address - Fax:505-298-2702
Practice Address - Street 1:3620 WYOMING BLVD NE STE L5
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3252
Practice Address - Country:US
Practice Address - Phone:505-990-4548
Practice Address - Fax:505-298-2702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-11
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM03-145298-001-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM1306097480Medicaid