HOSPICE OF NEW MEXICO LLC NPI 1134239122

NPI Information

NPI: 1134239122
Provider Name: HOSPICE OF NEW MEXICO LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 32D1024871

Address:
2900 LOUISIANA BLVD NE
SOUTH BUILDING, SUITE 100
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 872-2300
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HOSPICE OF NEW MEXICO LLC is a hospice care community based in Albuquerque, NM. HOSPICE OF NEW MEXICO LLC NPI is 1134239122. The provider is registered as an organization entity type.

The provider's business location address is:

2900 LOUISIANA BLVD NE
SOUTH BUILDING, SUITE 100
ALBUQUERQUE, NM
ZIP 87110-532
Phone: (505) 872-2300
Fax: (505) 888-4667

The provider's authorized official is John Bradley Hunter .
The authorized official title is President And Ceo and has the following contact phone number (434) 977-9711.

The CLIA number assigned to this NPI record is 32D1024871 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 2/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		3165	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	89304047	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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