Organization
NEW MEXICO HEALTHCARE SERVICES, LLC
Active
Other names
Excelacare Home Health, Interim Healthcare of Clovis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRANDON DURBIN (PRESIDENT/CEO)
(469) 361-0120
Entity
Organization
Contact information
Practice address
2300 N MAIN ST STE 19, CLOVIS, NM 88101-3573
(575) 769-0049
(575) 742-3368
Mailing address
101 W RENNER RD STE 420, RICHARDSON, TX 75082-2022
(877) 525-3338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
Primary
3187
NM
251J00000X
Nursing Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091628873
—
NM
01
—
3187
STATE OPERATOR LICENSE
NM
05
—
61237809
—
NM
Enumeration date
05/22/2006
Last updated
04/15/2026
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