RUSTIC HEALTH LLC
NPI 1215649629
In Home Supportive Care in T Or C, NM

Q: What is Rustic Health LLC's NPI number?

The NPI number for Rustic Health LLC is 1215649629. It was assigned to this organization in the NPPES registry on December 16, 2022.

Q: What is Rustic Health LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Rustic Health LLC was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 16, 2022CLIA 32D2315137 · Waiver

405 N DATE ST STE 4, T OR C, NM 87901(575) 297-4993(575) 205-0274 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2026, Jul 11, 2024, Apr 15, 2024 and 2 more (5 updates tracked since 2022).

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About Rustic Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSTIC HEALTH LLC (NPI 1215649629) is a healthcare organization registered as an in home supportive care in T Or C, New Mexico and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through December 5, 2026, maintains 3 additional practice locations, and lists David J Donavan, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1215649629

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameRUSTIC HEALTH LLC

Location Address405 N DATE ST STE 4T Or C, NM 87901-2378

Mailing Address1301 Cuba AveAlamogordo, NM 88310-5727 · (575) 479-7773 · Fax (575) 205-0274

Phone(575) 297-4993

Fax(575) 205-0274

Organization SubpartNo

Authorized OfficialDavid J DonavanOwner/administrator · (575) 479-7773

Enumeration DateDecember 16, 2022

Last NPPES UpdateMarch 31, 20265 updates tracked since enumeration

NPPES CertifiedMarch 31, 2026

✔ NPI 1215649629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

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.

Also ListedHome HealthTaxonomy 251E00000X

Also ListedNursing CareTaxonomy 251J00000X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

Also ListedRespite CareTaxonomy 385H00000X

405 N DATE ST STE 4, T Or C, NM 87901

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Secondary Practice Locations 3

Location 1151 S Walnut St Ste C4Las Cruces, NM 88001-2617 · Phone (575) 259-6555 · Fax (575) 205-0274

Location 21301 Cuba AveAlamogordo, NM 88310-5727 · Phone (575) 479-7773 · Fax (575) 205-0274

Location 3209 W 3rd StRoswell, NM 88201-4623 · Phone (575) 755-4040 · Fax (575) 205-0274

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2315137

Rustic Health Diagnostics LLC · T Or C, NM

Active · expires Dec 5, 2026

CLIA Number32D2315137

Laboratory TypeIndependent/Mobile

Certificate Effective DateDecember 6, 2024

Certificate Expiration DateDecember 5, 2026

Laboratory DirectorDavid J. Donavan

Laboratory Phone(575) 297-4993

Laboratory LocationRustic Health Diagnostics LLC405 N Date Suite 4, T Or C, NM 87901

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rustic Health LLC's NPI number?

The NPI number for Rustic Health LLC is 1215649629. It was assigned to this organization in the NPPES registry on December 16, 2022.

Where is Rustic Health LLC located?

Rustic Health LLC is located at 405 N Date St Ste 4, T Or C, NM 87901. The listed phone number is (575) 297-4993.

What is Rustic Health LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Does Rustic Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2315137) is associated with this NPI, valid through December 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rustic Health LLC was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.