Provider Demographics
NPI:1821070871
Name:ACCESS HOME HEALTH, LLC
Entity type:Organization
Organization Name:ACCESS HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HEATON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-434-6222
Mailing Address - Street 1:1909 CUBA AVE, STE 4
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-1909
Mailing Address - Country:US
Mailing Address - Phone:575-434-6222
Mailing Address - Fax:575-443-9090
Practice Address - Street 1:1909 CUBA AVE, STE 4
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-1909
Practice Address - Country:US
Practice Address - Phone:575-434-6222
Practice Address - Fax:575-443-9090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-16
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM02472562Medicaid