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Contact Information

AMPLIFIED HOME VISITING LLC
2901 HUTTON AVE
FARMINGTON, NM87402-4562
 Phone: 505-325-9109
 Fax: 505-325-9404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
 

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for AMPLIFIED HOME VISITING LLC

NPI Number 1538985767
LBN Legal business name AMPLIFIED HOME VISITING LLC
Authorized official DESTRE SHELLEY - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/03/2024
Last updated 06/18/2025 - About 12 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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