Organization Active NPI

Abq Hospice & Palliative Care Co.

  • Community Based Hospice Care Agency
  • Albuquerque, NM
National Provider Identifier
1306685847
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ABQ HOSPICE & PALLIATIVE CARE CO.
Practice address
4550 Eubank Blvd NE Ste 108
Albuquerque, NM 87111-2565
Phone
(505) 316-4410
NPI assigned
May 23, 2024
Last updated
May 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Anica Barbosa
Title
President
Phone
(505) 316-4410

Specialties & licenses 1

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

Addresses

Primary practice location

4550 Eubank Blvd NE Ste 108
Albuquerque, NM 87111-2565

Mailing address

4550 Eubank Blvd NE Ste 108
Albuquerque, NM 87111-2565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241209003266 NM Part A Provider - Hospice 6608302005 Practice locations: Albuquerque, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306685847. Details of each certification follow.

Hospice certification: CCN 321597

Legal name
ABQ HOSPICE & PALLIATIVE CARE CO
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 25, 2025
Last certification
Mar 14, 2025
Organization structure
CorporationProprietary
Enrollment address
4550 Eubank Blvd NE
Ste 108
Albuquerque, NM 87111-2565

Care Compare: Hospice

Medicare Care Compare
Listed as
Abq Hospice & Palliative Care Co.CCN 321597 · All quality measures
Certified
Mar 25, 2025
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
32D2305800Abq Hospice & Palliative Care Co4550 Eubank Blvd NE #108, Albuquerque, NM 87111Certificate of waiverJun 5, 2028

National Provider Directory

National Provider Directory

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
Igor Gary Shlifer Individual Contracted Managing EmployeeMD; Aug 1, 2024
Yaniv Fituci Individual 5% Or Greater Direct Ownership InterestVice President Apr 23, 2024 40%
Corporate Officer Apr 23, 2024 40%
Corporate Director Apr 23, 2024 40%
W-2 Managing Employee Apr 23, 2024 40%
Amanda Lucero Individual W-2 Managing EmployeeAdministrator Designee Aug 1, 2024
Anica Barbosa Individual 5% Or Greater Direct Ownership Interest Apr 23, 2024 60%
Corporate OfficerPresident Apr 23, 2024 60%
Corporate DirectorPresident Apr 23, 2024 60%
W-2 Managing EmployeePresident Apr 23, 2024 60%
Jessica Balluff Individual W-2 Managing EmployeeAd; Aug 1, 2024

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1306685847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 EUBANK BLVD NE STE 108",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 EUBANK BLVD NE STE 108",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112565",
            "telephone_number": "505-316-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABQ HOSPICE & PALLIATIVE CARE CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "BARBOSA",
        "authorized_official_first_name": "ANICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-316-4410"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.