Bosque Trails Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BOSQUE TRAILS HOSPICE LLC

Practice address

303 San Mateo Blvd NE Ste 104
Albuquerque, NM 87108-1382

Phone

(505) 808-2870

Fax

(505) 322-2709

NPI assigned

May 13, 2022

Organization subpart

No

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

Authorized official

Name

Adam Roach

Title

President/RN

Phone

(505) 808-2870

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Hospice certification: CCN 321590

Legal name

BOSQUE TRAILS HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 2, 2023

Last certification

Mar 2, 2023

Ownership / control type

Proprietary - Partnership

Organization structure

LLCProprietary

Incorporated

May 13, 2022 in NM

Enrollment address

1700 Louisiana Blvd NE
Suite 120
Albuquerque, NM 87110-7015

Listed as

Bosque Trails Hospice LLCCCN 321590

Certified

Mar 2, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 1

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

• Rachel Davis Rankin, MD

  • Family Medicine Physician
  • Bernalillo, NM
  • NPI 1073777504

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joanna A.S. Brightwater, CNP

  • Adult Health Nurse Practitioner
  • Albuquerque, NM
  • NPI 1689947038
  NPD
• Elizabeth D Paterson, ACNP

  • Acute Care Nurse Practitioner
  • Albuquerque, NM
  • NPI 1972577328
  NPD

Affiliated clinicians 1

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

• Kayla Ryan Caruso, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Albuquerque, NM
  • NPI 1467058453
  Care Compare affiliation

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1104563923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 LOUISIANA BLVD NE STE 120",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107015",
            "telephone_number": "505-808-2870",
            "fax_number": "505-322-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 SAN MATEO BLVD NE STE 104",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081382",
            "telephone_number": "505-808-2870",
            "fax_number": "505-322-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSQUE TRAILS HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT/RN",
        "authorized_official_telephone_number": "505-808-2870"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bosque Birth & Breastfeeding LLC
• Bosque Internal Medicine LLC
• Bosque Mental Health Associates, Inc.
• Bosque Smiles Dentistry, LLC
• Bosque Trails Assisted Living LLC
• Bosque Womens Care PC
• Bosque801
• Mateo G Bosquez, MD
• Christopher Stephen Bossart, M.D.
• Staci Bostic, LCSW

• Community Based Hospice Care Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Community Based Hospice Care Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.