NPIMap

Organization Active NPI

Wellcare, Inc.

  • Community Based Hospice Care Agency
  • Ruidoso, NM
National Provider Identifier
1295076305
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
WELLCARE, INC.
Practice address
1096 Mechem Drive, Suite 302B
Ruidoso, NM 88345-7057
Phone
(575) 258-0028
Fax
(575) 258-2648
NPI assigned
Mar 14, 2013
Organization subpart
Yes
Parent organization
ENHABIT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa M Arbuckle
Title
Director, Licensing & Enrollment
Phone
(214) 239-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1096 Mechem Drive, Suite 302B
Ruidoso, NM 88345-7057

Mailing address

6688 N Central Expy Ste 1300
Dallas, TX 75206-3950
Phone (214) 239-6500

Other identifiers 1

IdentifierTypeStateIssuer
83708235MedicaidNM

Other names 1

  • Enhabit Hospice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ENHABIT.HOSPICE.NM.RUH@DIRECT.HCHB.COM Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130603000007 NM Part A Provider - Hospice 2961429568 Practice locations: Roswell, NM; Ruidoso, NM

Hospice certification: CCN 321544

Legal name
WELLCARE, INC.
Doing business as
ENHABIT HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 15, 2002
Last certification
Jul 20, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Apr 10, 1996 in NM
Enrollment address
1096 Mechem Dr
Ste 302B
Ruidoso, NM 88345-7057

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Enhabit HospiceCCN 321544
Ownership
For-Profit
Certified
Nov 15, 2002
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2141879Wellcare, Inc Dba Enhabit Hospice1096 Mechem Drive, Suite 302-B, Ruidoso, NM 88345Certificate of waiverDec 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Wellcare Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: enhabit.hospice.nm.ruh@direct.hchb.com

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tanya R Marion Individual Corporate Officer Jul 1, 2022
8 Knots Management, LLC Organization, Dallas, TX Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2024
Deerfield Management Company LP Organization, New York, NY Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2022 6.04%
Michael P Clements Individual Contracted Managing EmployeeMD; Apr 1, 2023
Blackrock Inc Organization, New York, NY Corporation, Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2022 7.8%
Crystal Sloan Individual W-2 Managing Employee Jan 29, 2020
Collin S McQuiddy Individual Corporate Officer Aug 5, 2024
Barbara a Jacobsmeyer Individual Corporate OfficerPresident & Chief Executive Offi Jun 21, 2021
Corporate DirectorDirector Jan 1, 2017
Operational/Managerial ControlPresident& Ceo;Cho Admin Jan 1, 2023
Sarah W Braley Individual Corporate OfficerAssistant Secretary Feb 2, 2023
Julie D Jolley Individual Corporate OfficerOfficer Jun 4, 2021
Vanguard Group Inc Organization, Malvern, PA Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2022 5.91%
Enhabit Inc Organization, Dallas, TX Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2014 100%
Advanced Homecare Management LLC Organization, Dallas, TX For-profit 5% Or Greater Direct Ownership Interest Apr 1, 2013 100%
Dylan C Black Individual Corporate OfficerGeneral Counsel and Secretary Feb 22, 2023
Jeanne L Kalvaitis Individual Corporate Officer Jul 1, 2022
Jobie G Williams Individual Corporate OfficerSr VP and Treasurer Feb 22, 2023
Ryan T Solomon Individual Corporate Officer Dec 9, 2024
Sean P Richardson Individual Corporate OfficerChief Tax Officer Feb 22, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 196

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 196

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1295076305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6688 N CENTRAL EXPY STE 1300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063950",
            "telephone_number": "214-239-6500",
            "fax_number": "214-239-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 MECHEM DRIVE, SUITE 302B",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883457057",
            "telephone_number": "575-258-0028",
            "fax_number": "575-258-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENHABIT, INC.",
        "enumeration_date": "2013-03-14",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "ARBUCKLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR, LICENSING & ENROLLMENT",
        "authorized_official_telephone_number": "214-239-6500"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83708235",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ENHABIT.HOSPICE.NM.RUH@DIRECT.HCHB.COM",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Exchange",
            "address_1": "1096 Mechem Drive, Suite 302B",
            "city": "Ruidoso",
            "state": "NM",
            "country_code": "US",
            "postal_code": "883457057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Enhabit Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ruidoso, NM

Sources for this page

Verify at the official NPI Registry.