# RUIDOSO HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ruidoso Home Care & Hospice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134175383
- **Authorized official:** MRS. JENNIFER ANN CHADWICK RN (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (575) 258-0028

## Contact information

- **Practice address:** 590 GAVILAN CANYON RD, RUIDOSO, NM 88345-6080
- **Practice address phone:** (575) 258-0028
- **Practice address fax:** (575) 258-2648
- **Mailing address:** PO BOX 2019, RUIDOSO, NM 88355-2019
- **Mailing address phone:** (575) 258-0028
- **Mailing address fax:** (575) 258-2648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 3024 | NM | Yes |
| 251G00000X | Community Based Hospice Care Agency | 3096 | NM | — |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 02/26/2010