Organization
CLOVIS HOMECARE, INC.
Active
Other names
Community Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY MICHELLE CORBIN (DIRECTOR)
(575) 769-2243
Entity
Organization
Contact information
Practice address
1944 W 21ST ST, CLOVIS, NM 88101-4026
(575) 769-2243
(575) 762-6452
Mailing address
1944 W 21ST ST, CLOVIS, NM 88101-4026
(575) 769-2243
(575) 762-6452
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
6398
NM
3747P1801X
Personal Care Attendant
6398
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0214
STATE WAIVER PROGRAM
NM
05
—
D0214
—
NM
05
—
N2725
—
NM
01
—
Z7511
STATE PCO PROGRAM
NM
05
—
Z7511
—
NM
Enumeration date
11/01/2006
Last updated
12/22/2015
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