# INNOVATIVE SENIOR CARE HOME HEALTH OF ALBUQUERQUE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** At Home Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962729756
- **Authorized official:** JOSHUA L PROFFITT (PRESIDENT)
- **Authorized official phone:** (337) 233-1307

## Contact information

- **Practice address:** 7801 ACADEMY RD NE STE 1-104, ALBUQUERQUE, NM 87109-3381
- **Practice address phone:** (505) 880-0400
- **Practice address fax:** (505) 880-0404
- **Mailing address:** PO BOX 51266, LAFAYETTE, LA 70505-1266
- **Mailing address phone:** (337) 233-1307
- **Mailing address fax:** (337) 443-4154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/03/2010
- **Last updated:** 02/13/2024
