WELLCARE, INC.


Address: 1096 Mechem Drive, Suite 302b, Ruidoso, NM 88345-7057
Phone: 5752580028

WELLCARE, INC. (NPI# 1295076305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295076305
Entity Type Organization
Organization Name WELLCARE, INC.
Other Organization Name ENCOMPASS HOSPICE OF NEW MEXICO
Practice Address 1096 Mechem Drive, Suite 302b
Ruidoso
NM 88345-7057
Mailing Address 6688 N Central Expy
Suite 1300
Dallas
TX 75206-3950
Practice Telephone 5752580028
Practice Fax Number 5752582648
Mailing Telephone 2142396500
Mailing Fax Number 2142396581
Enumeration Date 2013-03-14
Last Update Date 2018-12-31
Authorized Official Name APRIL K ANTHONY (VICE PRESIDENT)
Authorized Official Telephone 2142396500
Is Organization Subpart Y
Parent Organization Name ENCOMPASS HEALTH CORPORATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NM 83708235 05

Other Provider/Organization Names

Other Name Type Code
Encompass Hospice of New Mexico Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1699160960 Wellcare, Inc. Home Health 4131 Montgomery Boulevard Ne, Albuquerque, NM 87109-6741 2015-04-02
1194153106 Wellcare, Inc. Hospice Care, Community Based 220 S Canal St Ste B, Carlsbad, NM 88220 2013-10-30
1942541040 Wellcare, Inc. Home Health 1096 Mechem Drive, Suite 302a, Ruidoso, NM 88345-7057 2013-03-14
1114014412 Wellcare, Inc. Home Health 425 S Telshor Blvd, Suite C201, Las Cruces, NM 88011-8212 2006-10-06
1245651298 Wellcare, Inc. Hospice Care, Community Based 3721 Rutledge Rd Ne, Albuquerque, NM 87109-5566 2013-12-18
1851712947 Wellcare, Inc. Home Health 3721 Rutledge Rd Ne, Albuquerque, NM 87109-5566 2013-12-17
1912337346 Wellcare, Inc. Home Health 7310 N 16th St, Suite 210, Phoenix, AZ 85020-5258 2013-11-21
1548434194 Wellcare, Inc. Counselor 218 Main St, Paris, KY 40361-2004 2008-04-15
1639367998 Wellcare, Inc. Home Health 500 N Main St, Suite 1000, Roswell, NM 88201-4729 2007-10-11

Other Data Sources

Entity Type Entity Name Entity Address
Massachusetts Corporations WELLCARE, INC. 129 Howland Rd., Lakeville, MA 02347
Connecticut Business Registrations WELLCARE, INC. C/o Administration, 201 Chestnut Hill Rd, Stafford Springs, CT 06076
New York State Corporations WELLCARE, INC. Sixth Floor, 161 Madison Avenue, New York, Ny 10016

Office Location

Street Address 1096 MECHEM DRIVE, SUITE 302B
City RUIDOSO
State NM
Zip Code 88345-7057

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295386373 Angela Louise Chavez Physical Therapy Assistant 143 El Paseo Road, Ruidoso, NM 88345 2019-09-20
1740744630 Aspen Creek Counseling, PC Community/Behavioral Health 212 Hidalgo St, Ruidoso, NM 88345 2019-01-25
1659729960 Clinical Counseling, Rebekah Stephens LLC Community/Behavioral Health 105 Socorro Circle, Ruidoso, NM 88345 2016-05-26
1013288208 Emily Jane Fleming Counselor 2904 Sudderth Dr, Ruidoso, NM 88345 2012-01-19
1376810572 Ronald Lee Annala Specialist 101 Annala Lane, Ruidoso, NM 88345 2011-11-17
1801171731 Felicia Yelena Fontenot Dentist 127 El Paso Road, Ruidoso, NM 88345 2011-10-11
1497072730 Richard G Leveque Counselor 206 Porr Dirve, Ruidoso, NM 88345 2010-04-27
1871827899 Delcia Maurice Gudgel Counselor 1400 Sudderth Drive, La Frontera, Ruidoso, NM 88345 2009-09-23
1740413541 Yolanda Nelson Case Manager/Care Coordinator 208 Sudderth Dr, Ruidoso, NM 88345 2009-08-26
1164697280 Elizabeth Urban Candelaria Social Worker 1400 Sudderth Dr., Ruidoso, NM 88345 2008-04-29
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013021765 Presbyterian Medical Services Hospice Care, Community Based 147 Mescalero Trl, Ruidoso, NM 88345-6090 2006-08-19
1134175383 Ruidoso Home Care, LLC Hospice Care, Community Based 590 Gavilan Canyon Rd, Ruidoso, NM 88345-6080 2006-05-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518570332 Nevaeh Hospice Inc. Hospice Care, Community Based 6200 Seagull St Ne, Albuquerque, NM 87109-2562 2020-08-31
1154939031 Enchanted Sky Hospice,llc Hospice Care, Community Based 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 2020-07-16
1952948739 Encompass Health Hospice of The Southwest, LLC Hospice Care, Community Based 1990 E Lohman Ave Ste 121, Las Cruces, NM 88001-3172 2019-11-29
1720634165 Luna Vista Hospice LLC Hospice Care, Community Based 901 Rio Grande Blvd Nw Ste F148, Albuquerque, NM 87104-2055 2019-08-12
1073070967 Hospice of Mesilla Valley, LLC Hospice Care, Community Based 665 E University Ave Bldg 1, Las Cruces, NM 88005-3363 2019-02-27
1790268811 Ironclad Hospice Care, LLC Hospice Care, Community Based 300 W Hill Ave Ste A1, Gallup, NM 87301-6364 2018-09-13
1447744974 Safari Healthcare Associate Hospice Care, Community Based 2406 Wildwind Rd, Las Cruces, NM 88007-5503 2018-06-18
1831646652 Labor of Love Home Health Services, LLC Hospice Care, Community Based 2504 Garfield Ave. Se Suite-5, Albuquerque, NM 87106 2016-09-09
1023476355 Southwest Health Allegiance LLC Hospice Care, Community Based 3780 Foothills Rd, Suite B, Las Cruces, NM 88011-8276 2016-02-01
1548633563 East Mountain Hospice LLC Hospice Care, Community Based 12126 Hwy 14 N Ste A, Cedar Crest, NM 87008-9406 2015-11-12
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Competitor

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City RUIDOSO
Zip Code 88345

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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