Enchanted Sky Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ENCHANTED SKY HOSPICE LLC

Practice address

1692B Hospital Drive
Vigil Office Building, Suite 201a
Santa Fe, NM 87505

Phone

(505) 982-0209

Fax

(505) 395-9292

NPI assigned

Jul 16, 2020

Organization subpart

No

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

Authorized official

Name

Joseph Bacharka

Title

Administrator

Phone

(505) 982-0209

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Hospice certification: CCN 321584

Legal name

ENCHANTED SKY HOSPICE ,LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 24, 2021

Last certification

Mar 24, 2021

Ownership / control type

Proprietary - Partnership

Organization structure

LLCProprietary

Incorporated

Jul 16, 2020 in NM

Enrollment address

1692B Hospital Dr
Ste 201a
Santa Fe, NM 87505-4825

Listed as

Enchanted Sky Hospice LLCCCN 321584

Ownership

For-Profit

Certified

Mar 24, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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.

• Linda Lorene Garcia, MD

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1467508077

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1154939031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692B HOSPITAL DR STE 201A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054825",
            "telephone_number": "505-982-0209",
            "fax_number": "505-395-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692B HOSPITAL DRIVE",
            "address_2": "VIGIL OFFICE BUILDING, SUITE 201A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-982-0209",
            "fax_number": "505-395-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCHANTED SKY HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "BACHARKA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "505-982-0209"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonah Emerson-Bell
• Hannah Louise Emery, DOM
• Emotional Wellness Counseling New Mexico LLC
• Rosemary A Emrich, M.A., LMHC
• Enchanted Care Services Inc.
• Karen A Endacott, MD
• Hakota Dilwo Endito
• Endodontics of New Mexico
• Endoscopy Center of Santa Fe LP
• Julie Endreson, ATC

• Community Based Hospice Care Agency in Santa Fe, NM
• Providers in Santa Fe, 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 Aug 18, 2022; 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.