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WELLCARE INC OF ROSWELL NPI 1811098478


NPI Information

NPI: 1811098478
Provider Name: WELLCARE INC OF ROSWELL

Doing Business As: WELLCARE HOME HEALTH

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 32D1021054

Address:
313 W 2ND ST
ROSWELL, NM
ZIP 88201
Phone: (505) 622-9355
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WELLCARE INC OF ROSWELL is a home health in Roswell, 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. WELLCARE INC OF ROSWELL NPI is 1811098478. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellcare Home Health.

The provider's business location address is:

313 W 2ND ST
ROSWELL, NM
ZIP 88201-609
Phone: (505) 622-9355
Fax: (505) 622-9370

The provider's authorized official is April K Anthony .
The authorized official title is Ceo and has the following contact phone number (214) 239-6500.

The CLIA number assigned to this NPI record is 32D1021054 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 8/22/2020.


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
1251E00000XHome Health3150NEW 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
13249OTHERNEW MEXICOSTATE LICENSE
294701369MEDICAIDNEW 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: 5/5/2024

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