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Contact Information

RUSTIC HEALTH LLC
405 N DATE ST STE 4
TRUTH OR CONSEQUENCES, NM87901-2378
 Phone: 575-297-4993
 Fax: 575-205-0274
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Home Health

251E00000X A4[11] Home Health Agency
 

Nursing Care

251J00000X
 

Primary Care

261QP2300X
 

Respite Care

385H00000X
Indicates primary specialty

NPI Profile & details for RUSTIC HEALTH LLC

NPI Number 1215649629
LBN Legal business name RUSTIC HEALTH LLC
Authorized official DAVID DONAVAN - (OWNER/ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/16/2022
Last updated 03/31/2026 - About 2 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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