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Clovis Homecare, Inc.
Personal Care Attendant in Clovis, New Mexico
NPI 1679651319

Clovis Homecare, Inc. is a Personal Care Attendant based in Clovis, NM and is specialized in Personal Care Attendant. Clovis Homecare, Inc. practices in Clovis, NM. The NPI Number for Clovis Homecare, Inc. is 1679651319 and holds a License No. 6398 (New Mexico).

The current practice location address for Clovis Homecare, Inc. is 1944 W 21St St, Clovis, NM and can be reached out via phone at 575-769-2243 and via fax at 575-762-6452. You can also correspond with Clovis Homecare, Inc. through the mailing address at 1944 W 21ST ST, CLOVIS, NM - 88101-4026 (mailing address contact number: 575-769-2243).

Location: 1944 W 21St St, Clovis, NM, 88101-4026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679651319
Provider Name
Clovis Homecare, Inc.
Credential
Provider Entity Type
Organization
Address
1944 W 21St St, Clovis, NM, 88101-4026
Phone Number
575-769-2243
Fax Number
575-762-6452
Provider Enumeration Date
11/01/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
N2725 05 NM
Z7511 01 NM STATE PCO PROGRAM
Z7511 05 NM
D0214 05 NM
D0214 01 NM STATE WAIVER PROGRAM
institution
Provider Business Practice Location Address Details
Address
1944 W 21St St
City
Clovis
State
New Mexico
Zip
88101-4026
Phone Number
575-769-2243
Fax Number
575-762-6452
person
Provider Business Mailing Address Details
Address
1944 W 21St St
City
Clovis
State
New Mexico
Zip
88101-4026
Phone Number
575-769-2243
Fax Number
575-762-6452
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
6398 (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.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
6398 (New Mexico)
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
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