Healthcare Provider Details

I. General information

NPI: 1518010222
Provider Name (Legal Business Name): ASSURANCE HOME INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 E 18TH ST
ROSWELL NM
88201-7532
US

IV. Provider business mailing address

1000 E 18TH ST
ROSWELL NM
88201-7532
US

V. Phone/Fax

Practice location:
  • Phone: 575-624-1780
  • Fax: 575-624-2033
Mailing address:
  • Phone: 575-624-1780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number4079
License Number StateNM

VIII. Authorized Official

Name: ALYCIA WRIGHT
Title or Position: CLINICAL DIRECTOR
Credential: LCSW
Phone: 575-624-1780