Active NPI
Red Willow Hospice
- Community Based Hospice Care Agency
- Taos, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Enrollment address
- 525 Salazar Rd
Unit a
Taos, NM 87571-7092
Care Compare: Hospice
Medicare Care Compare- Listed as
- Red Willow Hospice LLC
- Certified
- Oct 28, 2022
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2267405 | Red Willow Hospice | Certificate of waiver | Aug 23, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Theodore John Wiard | 5% Or Greater Direct Ownership Interest | Jan 12, 2022 | 7% |
| Justin Babin | 5% Or Greater Direct Ownership Interest | Jul 19, 2023 | 20% |
| W-2 Managing Employee | Jul 19, 2023 | 20% | |
| Joanna J Hooper | 5% Or Greater Direct Ownership Interest | Jan 24, 2022 | 33% |
| Limited Partnership Interest | May 27, 2022 | 33% | |
| W-2 Managing Employee | Jan 24, 2022 | 33% | |
| Robyn Chavez | 5% Or Greater Direct Ownership Interest | May 27, 2022 | 33% |
| Limited Partnership Interest | May 27, 2022 | 33% | |
| Corporate Officer | May 27, 2022 | 33% | |
| W-2 Managing Employee | May 27, 2022 | 33% | |
| Emilio Chavez | 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.
-
- Family Medicine Physician
- Taos, NM
- NPI 1275780140
5% Or Greater Direct Ownership Interest, Limited Partnership Interest, W-2 Managing Employee
-
- Mental Health Counselor
- Taos, NM
- NPI 1790894053
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Taos, NM
- NPI 1275780140
-
- Pediatrics Physician
- Paris, TX
- NPI 1518197425
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.