Provider Demographics
NPI:1386407146
Name:RICELANDS HOME HEALTH CARE AND HOSPICE LLC
Entity type:Organization
Organization Name:RICELANDS HOME HEALTH CARE AND HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BENEDETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:OGINDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-717-8266
Mailing Address - Street 1:3419 JOSHUA TREE DR NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-2591
Mailing Address - Country:US
Mailing Address - Phone:423-717-8266
Mailing Address - Fax:
Practice Address - Street 1:101 S ORCHARD AVE STE B
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-6433
Practice Address - Country:US
Practice Address - Phone:505-918-6344
Practice Address - Fax:505-441-2658
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RICELANDS HOME HEALTH CARE AND HOSPICE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health