Provider Demographics
NPI:1093691784
Name:ANOGHENA REHAB HEALTH LLC
Entity type:Organization
Organization Name:ANOGHENA REHAB HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:IGBADUMHE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-306-8443
Mailing Address - Street 1:1123 KENT AVE NW STE B
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-3239
Mailing Address - Country:US
Mailing Address - Phone:505-306-8443
Mailing Address - Fax:
Practice Address - Street 1:1123 KENT AVE NW STE B
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-3239
Practice Address - Country:US
Practice Address - Phone:505-306-8443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No251E00000XAgenciesHome Health
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility