CLOVIS HOMECARE, INC. (NPI# 1679651319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679651319 |
| Entity Type | Organization |
| Organization Name | CLOVIS HOMECARE, INC. |
| Other Organization Name | COMMUNITY HOMECARE |
| Practice Address |
1944 W 21st St Clovis NM 88101-4026 |
| Practice Telephone | 5757692243 |
| Practice Fax Number | 5757626452 |
| Mailing Telephone | 5757692243 |
| Mailing Fax Number | 5757626452 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-12-22 |
| Authorized Official Name | MRS. AMY MICHELLE CORBIN (DIRECTOR) |
| Authorized Official Telephone | 5757692243 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
6398 | NM | Nursing Service Related Providers |
| Y | 251E00000X | Home Health | 6398 | NM | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | D0214 | 05 | |
| NM | Z7511 | 05 | |
| NM | STATE PCO PROGRAM | Z7511 | 01 |
| NM | N2725 | 05 | |
| NM | STATE WAIVER PROGRAM | D0214 | 01 |
| Other Name | Type Code |
|---|---|
| Community Homecare | Doing Business As Name - Organization |
| Street Address |
1944 W 21ST ST |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-4026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639302474 | Community Homecare, Inc. | Case Management | 1944 W 21st St, Clovis, NM 88101-4026 | 2009-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | 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. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861033375 | Golden Bird Home Health Care, Inc | Home Health | 464 N Rogers Ave # 101, Clovis, CA 93611-0330 | 2019-10-05 |
| 1518277102 | Sequoia Home Health Inc | Home Health | 900 Pollasky Ave, Clovis, CA 93612-2213 | 2010-10-15 |
| 1568604460 | Healthpoint Home Health, Inc. | Home Health | 2137 Herndon Avenue, Suite 103, Clovis, CA 93611-6105 | 2009-03-24 |
| 1962568386 | Ghaffari Medical Pharmacy | Home Health | 815 W 14th St, Clovis, NM 88101-5514 | 2006-12-29 |
| 1154748465 | Omnia Healthcare LLC | Home Health | 755 N Peach Ave, Suite G3, Clovis, CA 93611-7247 | 2014-03-25 |
| 1144551698 | Kindstar, Inc. | Home Health | 1801 W 21st St, Clovis, NM 88101-4023 | 2010-01-22 |
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| 1598365066 | Ricelands Home Health Care and Hospice LLC | Home Health | 9215 Layton Ave Ne, Albuquerque, NM 87111-1335 | 2020-10-26 |
| 1205451887 | Handson Home Care | Home Health | 352 Peaceful Meadows Dr Ne, Rio Rancho, NM 87144-4102 | 2020-06-10 |
| 1396368916 | Hannah's Helping Hands, LLC | Home Health | 7033 Kalgan Rd. Ne, Rio Rancho, NM 87144 | 2020-05-19 |
| 1073135216 | At Home Not Alone Care, LLC | Home Health | 3410 Anderson Ave Se Rear, Albuquerque, NM 87106-2408 | 2020-05-11 |
| 1396370383 | Md Health Care LLC | Home Health | 8019 Edith Blvd Ne Ste 206, Albuquerque, NM 87113-1433 | 2020-03-10 |
| 1124650817 | United One Home Care LLC | Home Health | 3321b Candelaria Rd Ne Ofc 320, Albuquerque, NM 87107-1908 | 2020-02-10 |
| 1316595184 | Simplicity Home Health Care | Home Health | 7920 Mountain Rd Ne Ste B, Albuquerque, NM 87110-7800 | 2019-08-26 |
| 1952960817 | Mary T Martinez | Home Health | 585 Osuna Rd Ne Ste F, Albuquerque, NM 87113-1084 | 2019-06-12 |
| 1689230658 | Norma Araceli Ortega | Home Health | 9319 Starboard Rd Nw, Albuquerque, NM 87121-1968 | 2019-05-15 |
| Find all providers with the same taxonomy | ||||
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| 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.