RUIDOSO HOME CARE LLC NPI 1134175383

NPI Information

  • NPI: 1134175383
  • Provider Name: RUIDOSO HOME CARE, LLC
  • Classification: Home Health - 251E00000X
  • Entity Type: Organization
  • Doing Business As: RUIDOSO HOME CARE & HOSPICE
  • Address: 590 GAVILAN CANYON RD
    RUIDOSO, NM
    ZIP 88345
  • Phone: (575) 258-0028

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NPI Details

RUIDOSO HOME CARE, LLC is a home health in Ruidoso, NM. The provider is 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. RUIDOSO HOME CARE, LLC NPI is 1134175383. The provider is registered as an organization entity type.
The provider Is Doing Business As Ruidoso Home Care & Hospice.

The provider's business location address is:

590 GAVILAN CANYON RD
RUIDOSO, NM
ZIP 88345-080
Phone: (575) 258-0028
Fax: (575) 258-2648

The provider's authorized official is Jennifer Ann Chadwick .
The authorized official title is Administrator/owner and has the following contact phone number (575) 258-0028.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 2/26/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community Based3096NEW MEXICONo
2251E00000XHome Health3024NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1321544MEDICARE ID-TYPE UNSPECIFIEDNEW MEXICOMEDICARE HOSPICE
283708235MEDICAIDNEW MEXICO
3327178MEDICARE ID-TYPE UNSPECIFIEDNEW MEXICOMEDICARE HOME HEALTH
4A5162MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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