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Contact Information

MOUNTAIN HOME HEALTH CARE, INC.
630 PASEO DEL PUEBLO SUR
# 180
TAOS, NM87571-7023
 Phone: 505-758-1024
 Fax: 505-758-0560
 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 MOUNTAIN HOME HEALTH CARE, INC.

NPI Number 1215932587
LBN Legal business name MOUNTAIN HOME HEALTH CARE, INC.
Authorized official BETTE MYERSON - (FINANCE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2005
Last updated 04/09/2009 - About 17 years ago
Identifiers
NM License # 6058A1
NM License # 6479
NM Medicaid 73583
NM Medicaid D0693
NM Medicaid H4874
NM Medicaid N1078
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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