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Contact Information

CLOVIS HOMECARE, INC.
1944 W 21ST ST
CLOVIS, NM88101-4026
 Phone: 575-769-2243
 Fax: 575-762-6452
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for CLOVIS HOMECARE, INC.

NPI # 1679651319
LBN Legal business name CLOVIS HOMECARE, INC.
Authorized official AMY CORBIN - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 12/22/2015 - About 10 years ago
Identifiers
NM License # 6398
NM Medicaid D0214
NM Medicaid N2725
NM Medicaid Z7511
NM Other Z7511 STATE PCO PROGRAM
NM Other D0214 STATE WAIVER PROGRAM
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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