LUNA VISTA HOSPICE LLC NPI 1720634165

NPI Information

LUNA VISTA HOSPICE LLC is a hospice care community based in Albuquerque, NM. LUNA VISTA HOSPICE LLC NPI is 1720634165. The provider is registered as an organization entity type.

The provider's business location address is:

2116 VISTA OESTE NW
# 1B
ALBUQUERQUE, NM
ZIP 87120-340
Phone: (505) 977-1165
Fax: (505) 247-6811

The provider's authorized official is Jamie Gonzalez .
The authorized official title is Administrator /owner and has the following contact phone number (505) 977-3131.

The CLIA number assigned to this NPI record is 32D2173194 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2019 and was last updated on 8/24/2021.

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:

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