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32D0980482 CLIA NUMBER - WELLCARE INC DBA ENHABIT HOME HEALTH

Laboratory Demographics

CLIA Number: 32D0980482

Facility Name: WELLCARE INC DBA ENHABIT HOME HEALTH

Facility Address:
1096 MECHEM DRIVE SUITE 302-A
RUIDOSO, NM
ZIP 88345
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Facility Phone Number: 575 258-0028

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1942541040

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 32D0980482
LAB Type Home Health Agency
Facility Name WELLCARE INC DBA ENHABIT HOME HEALTH
Street 1096 MECHEM DRIVE SUITE 302-A
City RUIDOSO
State NM
ZIP 88345
Phone 575 258-0028
CertificateType 4
CertificateEffectiveDate 11/22/2022
CertificateExpirationDate 11/21/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024