Organization
MOUNTAIN HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTE MYERSON (FINANCE DIRECTOR)
(575) 758-4786
Entity
Organization
Contact information
Practice address
630 PASEO DEL PUEBLO SUR, # 180, TAOS, NM 87571-7023
(505) 758-1024
(505) 758-0560
Mailing address
PO BOX 2566, TAOS, NM 87571-2566
(575) 758-4786
(575) 758-0560
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
6058A1
NM
251G00000X
Community Based Hospice Care Agency
6479
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73583
—
NM
05
—
D0693
—
NM
05
—
H4874
—
NM
05
—
N1078
—
NM
Enumeration date
06/14/2005
Last updated
04/09/2009
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