Organization Active NPI

Star Hospice, LLC

Doing business as Star Hospice

  • Community Based Hospice Care Agency
  • Hobbs, NM
National Provider Identifier
1376765164
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
3142 Issued in NM
Legal business name
STAR HOSPICE, LLC
Doing business as
Star Hospice
Practice address
1000 N Dalmont St
Hobbs, NM 88240-5218
Phone
(505) 393-7007
Fax
(505) 391-8666
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Elizabeth Rubio
Title
Human Resources Manager
Phone
(432) 580-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 3142 NM Primary

Addresses

Primary practice location

1000 N Dalmont St
Hobbs, NM 88240-5218

Mailing address

1000 N Dalmont St
Hobbs, NM 88240-5218
Phone (575) 393-7007

Other identifiers 1

IdentifierTypeStateIssuer
20804059MedicaidNM

Other names 1

  • Star Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120229000205 NM Part A Provider - Hospice 8820900640 Practice locations: Hobbs, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376765164. Details of each certification follow.

Hospice certification: CCN 321550

Legal name
STAR HOSPICE LLC
Doing business as
STAR HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 10, 2004
Last certification
Mar 13, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLC
Enrollment address
1000 N Dalmont St
Hobbs, NM 88240-5218

Care Compare: Hospice

Medicare Care Compare
Listed as
Star Hospice LLCCCN 321550 · All quality measures
Ownership
For-Profit
Certified
Feb 10, 2004
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
32D1017032Star Hospice, LLC1000 N Dalmont St, Hobbs, NM 88240Certificate of waiverSep 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Star Hospice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1000 N Dalmont St
Hobbs, NM 88240
Phone (505) 393-7007

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Silver Star Holdco, LLC Organization, New York, NY Created for acquisition, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 31, 2024 100%
Nancy Gutierrez Individual W-2 Managing EmployeeAd; Dec 31, 2024
Tygon Peak Capital Management II LLC Organization, New York, NY Created for acquisition, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 31, 2024 100%
Star Residential Care LLC Organization, Odessa, TX LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Nov 1, 2021 100%
Patrick J Homer Individual Contracted Managing EmployeeMD; Dec 31, 2024
Chau Le Individual Contracted Managing EmployeeMD; Dec 31, 2024
Ralph Phillips Individual 5% Or Greater Indirect Ownership Interest Dec 31, 2024 41.18%
Corporate Officer Dec 31, 2024 41.18%
Egor Bulavintsev Individual 5% Or Greater Indirect Ownership Interest Dec 31, 2024 58.82%
Corporate Officer Dec 31, 2024 58.82%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1376765164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N DALMONT ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882405218",
            "telephone_number": "575-393-7007",
            "fax_number": "575-391-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N DALMONT ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882405218",
            "telephone_number": "505-393-7007",
            "fax_number": "505-391-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "RUBIO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "HUMAN RESOURCES MANAGER",
        "authorized_official_telephone_number": "432-580-7707"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NM",
            "license": "3142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20804059",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Star Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hobbs, NM

Sources for this page

Verify at the official NPI Registry.