MEDICARE: RESCARE NEW MEXICO, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	385H00000X	Respite Care
2	251E00000X	Home Health Agency
3	343900000X	Non-emergency Medical Transport (VAN)
4	347C00000X	Private Vehicle
5	251C00000X	Developmentally Disabled Services Day Training Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205040268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESCARE NEW MEXICO, INC.

Provider Business Mailing Address
First Line	:	9901 LINN STATION RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-3808
Country	:	US
Telephone Number	:	800-866-0860
Fax Number	:

Provider Business Practice Location Address
First Line	:	407 HIGHWAY 314 NW
Second Line	:
City	:	LOS LUNAS
State	:	NM
Zip	:	87031-6699
Country	:	US
Telephone Number	:	800-866-0860
Fax Number	:

Authorized Official
Title or Position	:	PRIVACY OFFICER
Name	:	MS. DEENA OMBRES
Credential	:
Telephone Number	:	502-394-2387

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	07/28/2008

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