NPIMap

Organization Active NPI

Justus, LLC

  • Community Based Hospice Care Agency
  • Albuquerque, NM
National Provider Identifier
1255433579
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2T3217 Issued in NM
Legal business name
JUSTUS, LLC
Practice address
3812 Academy Parkway North NE
Albuquerque, NM 87109-4409
Phone
(505) 217-2490
Fax
(505) 873-1060
NPI assigned
Sep 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Authorized official

Name
Stacie Bratcher
Title
Ceo
Phone
(817) 349-9050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2T3217 NM Primary

Addresses

Primary practice location

3812 Academy Parkway North NE
Albuquerque, NM 87109-4409

Mailing address

3812 Academy Parkway North NE
Albuquerque, NM 87109-4409
Phone (505) 217-2490

Other identifiers 1

IdentifierTypeStateIssuer
35224266MedicaidNM

Other names 1

  • Hospice de la Luz Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051110000350 NM Part A Provider - Hospice 2567480262 Practice locations: Albuquerque, NM

Hospice certification: CCN 321559

Legal name
JUSTUS, LLC
Doing business as
HOSPICE DE LA LUZ
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 3, 2006
Last certification
Jul 21, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Sep 1, 2005 in NM
Enrollment address
3812 Academy Parkway North NE
Albuquerque, NM 87109-4409

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice de la LuzCCN 321559
Ownership
For-Profit
Certified
Mar 3, 2006
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
32D1051568Justus LLC Dba Hospice de la Luz3812 Academy Parkway North NE, Albuquerque, NM 87109Certificate of waiverMar 5, 2028

National Provider Directory

National Provider Directory

Locations

318 Isleta Blvd SW
Ste 209
Albuquerque, NM 87105
Phone (505) 239-1854

3812 Academy Parkway North NE
Albuquerque, NM 87109
Phone (505) 217-2490

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Danielle Pete Individual W-2 Managing EmployeeAdministrator Apr 8, 2021
Larry Nabb Individual Corporate OfficerCeo May 24, 2023
Joy a Lovette Individual Contracted Managing EmployeeMD; Jan 1, 2013
Jim D Glynn Individual 5% Or Greater Indirect Ownership Interest Apr 8, 2021 6%
Corporate DirectorChairman Apr 8, 2021
SV Life Sciences Fund VI LP Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Apr 9, 2021 58.13%
Health Enterprise Partners II LP Organization, New York, NY 5% Or Greater Indirect Ownership Interest Apr 9, 2021 27.89%
Jet Health, Inc. Organization, Fort Worth, TX Corporation 5% Or Greater Direct Ownership Interest Apr 8, 2021 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1255433579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 ACADEMY PARKWAY NORTH NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094409",
            "telephone_number": "505-217-2490",
            "fax_number": "505-873-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 ACADEMY PARKWAY NORTH NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094409",
            "telephone_number": "505-217-2490",
            "fax_number": "505-873-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "BRATCHER",
        "authorized_official_first_name": "STACIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-349-9050"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NM",
            "license": "2T3217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35224266",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice de la Luz",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hospice de la Luz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.