Rio Grande Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

RIO GRANDE HOSPICE LLC

Practice address

4100 Osuna Rd NE Ste 105
Albuquerque, NM 87109-4442

Phone

(505) 917-1658

Fax

(505) 944-9754

NPI assigned

Jul 5, 2023

Organization subpart

No

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

Authorized official

Name

Felicia Graf

Title

Owner/Co-Ceo

Phone

(505) 917-1658

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Hospice certification: CCN 321598

Legal name

RIO GRANDE HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 4, 2025

Last certification

Mar 13, 2025

Organization structure

LLCProprietary

Incorporated

Jun 16, 2023 in NM

Enrollment address

4100 Osuna Rd NE
Ste 105
Albuquerque, NM 87109-4442

Listed as

Rio Grande Hospice LLCCCN 321598

Certified

Apr 4, 2025

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.

• Anthony Charles Fredericks, MD

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Albuquerque, NM
  • NPI 1114486107

  W-2 Managing Employee

  CMS ownership

Practitioners 1

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

• Anthony Charles Fredericks, MD

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Albuquerque, NM
  • NPI 1114486107
  NPD (past)

Affiliated clinicians 2

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

• Anthony Charles Fredericks, MD

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Albuquerque, NM
  • NPI 1114486107
  Care Compare affiliation
• Emily D. Wheelis, MD

  • Emergency Medicine Physician
  • Albuquerque, NM
  • NPI 1841652096

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1144908799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 OSUNA RD NE STE 105",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094442",
            "telephone_number": "505-433-9165",
            "fax_number": "505-944-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 OSUNA RD NE STE 105",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094442",
            "telephone_number": "505-917-1658",
            "fax_number": "505-944-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "GRAF",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "OWNER/CO-CEO",
        "authorized_official_telephone_number": "505-917-1658"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rio Grande Counseling & Guidance Services, PA
• Rio Grande Dermatology, PC
• Rio Grande Emdr Therapy, LLC
• Rio Grande FS, LLC
• Rio Grande Geriatrics and Family Practice LLC
• Rio Grande Internal Medicine PC
• Rio Grande Mental Health PLLC
• Rio Grande Midwifery
• Rio Grande Neuroscience LLC
• Rio Grande Oral and Maxillofacial Surgery, P.C.

• 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 Jul 29, 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.