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Contact Information

RUIDOSO HOME CARE, LLC
590 GAVILAN CANYON RD
RUIDOSO, NM88345-6080
 Phone: 575-258-0028
 Fax: 575-258-2648
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for RUIDOSO HOME CARE, LLC

NPI Number 1134175383
LBN Legal business name RUIDOSO HOME CARE, LLC
Authorized official JENNIFER CHADWICK - (ADMINISTRATOR/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2006
Last updated 02/26/2010 - About 16 years ago
Identifiers
NM License # 3024
NM License # 3096
NM Medicaid 83708235
NM Medicaid A5162
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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