Organization
HOSPICE OF NEW MEXICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE R MOORE (CHIEF ADMINISTRATIVE OFFICER)
(857) 331-6271
Entity
Organization
Contact information
Practice address
2155 LOUISIANA BLVD NE STE 2200, ALBUQUERQUE, NM 87110-5480
(505) 872-2300
(505) 888-4667
Mailing address
500 FAULCONER DR STE 200, CHARLOTTESVILLE, VA 22903-5089
(434) 977-9711
(434) 235-4142
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
3165
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89304047
—
NM
Enumeration date
08/30/2006
Last updated
05/12/2025
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