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Life Support Home Health Inc
Home Health Agency in Albuquerque, New Mexico
NPI 1154507739

Life Support Home Health Inc is a Home Health Agency based in Albuquerque, NM. Life Support Home Health Inc practices in Albuquerque, NM. The NPI Number for Life Support Home Health Inc is 1154507739 and holds a License No. 6775A1 (New Mexico).

The current practice location address for Life Support Home Health Inc is 12901 Sand Cherry Pl Ne, Albuquerque, NM and can be reached out via phone at 505-856-1321 and via fax at 505-797-1328.

Location: 12901 Sand Cherry Pl Ne, Albuquerque, NM, 87111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154507739
Provider Name
Life Support Home Health Inc
Credential
Provider Entity Type
Organization
Address
12901 Sand Cherry Pl Ne, Albuquerque, NM, 87111
Phone Number
505-856-1321
Fax Number
505-797-1328
Provider Enumeration Date
01/14/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
D4145 01 NM MEDICAID WAIVER
institution
Provider Business Practice Location Address Details
Address
12901 Sand Cherry Pl Ne
City
Albuquerque
State
New Mexico
Zip
87111
Phone Number
505-856-1321
Fax Number
505-797-1328
person
Provider Business Mailing Address Details
Address
12901 Sand Cherry Pl Ne
City
Albuquerque
State
New Mexico
Zip
87111
Phone Number
505-856-1321
Fax Number
505-797-1328
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
6775A1 (New Mexico)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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