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Medisource Home Health
Home Health Agency in Roswell, New Mexico
NPI 1639512171

Medisource Home Health is a Home Health Agency based in Roswell, NM. Medisource Home Health practices in Roswell, NM. The NPI Number for Medisource Home Health is 1639512171 and holds a License No. 3434 (New Mexico).

The current practice location address for Medisource Home Health is 406 W College Blvd Ste A, Roswell, NM and can be reached out via phone at 575-910-5521 and via fax at 575-208-1769.

Location: 406 W College Blvd Ste A, Roswell, NM, 88201-5114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639512171
Provider Name
Medisource Home Health
Credential
Provider Entity Type
Organization
Address
406 W College Blvd Ste A, Roswell, NM, 88201-5114
Phone Number
575-910-5521
Fax Number
575-208-1769
Provider Enumeration Date
04/15/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1T3434 01 NM NM HEALTH AND LICENSING
70683255 05 NM
institution
Provider Business Practice Location Address Details
Address
406 W College Blvd Ste A
City
Roswell
State
New Mexico
Zip
88201-5114
Phone Number
575-910-5521
Fax Number
575-208-1769
person
Provider Business Mailing Address Details
Address
406 W College Blvd Ste A
City
Roswell
State
New Mexico
Zip
88201-5114
Phone Number
575-910-5521
Fax Number
575-208-1769
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
3434 (New Mexico)
Definition
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.
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