Provider Demographics
NPI:1427853530
Name:HOME HEALTH PERSONAL CARE, LLC
Entity type:Organization
Organization Name:HOME HEALTH PERSONAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GORECKI
Authorized Official - Suffix:
Authorized Official - Credentials:AAS
Authorized Official - Phone:719-421-0633
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:
Mailing Address - City:TUCUMCARI
Mailing Address - State:NM
Mailing Address - Zip Code:88401-0097
Mailing Address - Country:US
Mailing Address - Phone:719-421-0633
Mailing Address - Fax:
Practice Address - Street 1:501 W EVANS AVE
Practice Address - Street 2:
Practice Address - City:TUCUMCARI
Practice Address - State:NM
Practice Address - Zip Code:88401-3670
Practice Address - Country:US
Practice Address - Phone:575-242-6909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-14
Last Update Date:2025-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care