Organization Active NPI

Red Willow Hospice

  • Community Based Hospice Care Agency
  • Taos, NM
National Provider Identifier
1114656642
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
RED WILLOW HOSPICE
Practice address
525 A Salazar Road
Taos, NM 87571-7092
Phone
(575) 737-1811
Fax
(575) 208-6770
NPI assigned
Jun 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Robyn Dow Chavez
Title
Coo
Phone
(575) 737-1811

Specialties & licenses 1

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

Addresses

Primary practice location

525 A Salazar Road
Taos, NM 87571-7092

Mailing address

525 A Salazar Road
Taos, NM 87571-7092
Phone (575) 737-1811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220818002487 NM Part A Provider - Hospice 3375926637 Practice locations: Albuquerque, NE; Santa Fe, NM; Taos, NM

Hospice certification: CCN 321588

Legal name
RED WILLOW HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 28, 2022
Last certification
Oct 19, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
525 Salazar Rd
Unit a
Taos, NM 87571-7092

Care Compare: Hospice

Medicare Care Compare
Listed as
Red Willow Hospice LLCCCN 321588
Certified
Oct 28, 2022
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
32D2267405Red Willow Hospice525 A Salazar Road, Taos, NM 87571Certificate of waiverAug 23, 2026

National Provider Directory

National Provider Directory

Locations

1925 Aspen Dr
Ste 901A
Santa Fe, NM 87505
Phone (575) 737-1811

525 Salazar Rd
Unit A
Taos, NM 87571
Phone (575) 737-1811

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Theodore John Wiard Individual 5% Or Greater Direct Ownership Interest Jan 12, 2022 7%
Justin Babin Individual 5% Or Greater Direct Ownership Interest Jul 19, 2023 20%
W-2 Managing EmployeeManaging Partner Jul 19, 2023 20%
Joanna J Hooper Individual 5% Or Greater Direct Ownership InterestMedical Director Jan 24, 2022 33%
Limited Partnership InterestBoard Member, Medical Director May 27, 2022 33%
W-2 Managing EmployeeMD; Jan 24, 2022 33%
Robyn Chavez Individual 5% Or Greater Direct Ownership InterestManagerial, Medical Personnel St May 27, 2022 33%
Limited Partnership InterestCeo, Administrator, Clinical Dir May 27, 2022 33%
Corporate OfficerCoo, Administrator May 27, 2022 33%
W-2 Managing EmployeeAd; May 27, 2022 33%
Emilio Chavez Individual 5% Or Greater Direct Ownership Interest Jan 12, 2022 7%

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 2

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

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": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1114656642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 A SALAZAR ROAD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875717092",
            "telephone_number": "575-737-1811",
            "fax_number": "575-208-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 A SALAZAR ROAD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875717092",
            "telephone_number": "575-737-1811",
            "fax_number": "575-208-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED WILLOW HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "DOW",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "575-737-1811"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

Verify at the official NPI Registry.