RUSTIC HEALTH LLC
NPI 1215649629
In Home Supportive Care in T Or C, NM
NPI Status: Active since December 16, 2022
Contact Information
405 N DATE ST STE 4
T OR C, NM
ZIP 87901
Phone: (575) 297-4993
Fax: (575) 205-0274
- Organization
- In Home Supportive Care
- CLIA Number: 32D2315137
- CLIA Cert. Type: Other - INDEPENDENT/MOBILE
- CLIA Exp. Date: 12-05-2026
About RUSTIC HEALTH LLC
This page provides the complete NPI Profile along with additional information for Rustic Health Llc, a provider established in T Or C, New Mexico operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1215649629 assigned on December 2022. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is David J Donavan Lpn (Owner/administrator)
- NPI
- 1215649629
- Provider Name
- RUSTIC HEALTH LLC
- Entity Type
- Organization
- Location Address
- 405 N DATE ST STE 4 T OR C, NM 87901
- Location Phone
- (575) 297-4993
- Location Fax
- (575) 205-0274
- Mailing Address
- 1301 CUBA AVE ALAMOGORDO, NM 88310
- Mailing Phone
- (575) 479-7773
- Mailing Fax
- (575) 205-0274
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-16-2022
- Last Update Date
- 03-31-2026
- Code Navigator
Location Map
Secondary Locations
- 1301 Cuba Ave
Alamogordo, NM 88310
(575) 479-7773 - 209 W 3rd St
Roswell, NM 88201
(575) 755-4040 - 151 S Walnut St Ste C4
Las Cruces, NM 88001
(575) 259-6555
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
In Home Supportive Care
- Taxonomy Code
- 253Z00000X
- Type
- Agencies
- Taxonomy Description
- An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251E00000X | Agencies | Home Health | |
| 2 | 251J00000X | Agencies | Nursing Care | |
| 3 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 385H00000X | Respite Care Facility | Respite Care |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 32D2315137
- Facility Type
- Other - INDEPENDENT/MOBILE
- Certificate Effective Date
- December 06, 2024
- Certificate Expiration Date
- December 05, 2026
- Laboratory Director
- DAVID J. DONAVAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Rustic Health Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1215649629, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215649629, enumerated as an "organization" on December 16, 2022.
The provider is located at 405 N DATE ST STE 4 T OR C, NM 87901 and the phone number is (575) 297-4993.
In Home Supportive Care with taxonomy code 253Z00000X.
