Provider Demographics
NPI:1063801066
Name:HELPING HANDS SENIOR CARE HOMECARE OF ALBUQUERQUE, LLC
Entity type:Organization
Organization Name:HELPING HANDS SENIOR CARE HOMECARE OF ALBUQUERQUE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FARSHAD
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:KHATIBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-712-3528
Mailing Address - Street 1:3321 CANDELARIA RD NE
Mailing Address - Street 2:UNIT # 125
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-1966
Mailing Address - Country:US
Mailing Address - Phone:505-712-3528
Mailing Address - Fax:
Practice Address - Street 1:3321 CANDELARIA RD NE
Practice Address - Street 2:UNIT # 125
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-1966
Practice Address - Country:US
Practice Address - Phone:505-712-3528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM4918525251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health