Active NPI
Star Hospice, LLC
Doing business as Star Hospice
- Community Based Hospice Care Agency
- Hobbs, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 3142
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20804059 | Medicaid | NM |
Other names 1
- Star Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- Ownership
- For-Profit
- Certified
- Feb 10, 2004
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D1017032 | Star Hospice, LLC | Certificate of waiver | Sep 14, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Star Hospice
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Silver Star Holdco, LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2024 | 100% |
| Nancy Gutierrez | W-2 Managing Employee | Dec 31, 2024 | |
| Tygon Peak Capital Management II LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2024 | 100% |
| Star Residential Care LLC | 5% Or Greater Direct Ownership Interest | Nov 1, 2021 | 100% |
| Patrick J Homer | Contracted Managing Employee | Dec 31, 2024 | |
| Chau Le | Contracted Managing Employee | Dec 31, 2024 | |
| Ralph Phillips | 5% Or Greater Indirect Ownership Interest | Dec 31, 2024 | 41.18% |
| Corporate Officer | Dec 31, 2024 | 41.18% | |
| Egor Bulavintsev | 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.
-
- Family Medicine Physician
- Lovington, NM
- NPI 1003852252
Contracted Managing Employee
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Star Care Home Health
- Home Health Agency
- Hobbs, NM
- NPI 1578785184
Silver Star Holdco, LLC, Star Residential Care LLC, Tygon Peak Capital Management II LLC
-
dba Star Care Home Health
- Home Health Agency
- Odessa, TX
- NPI 1922193085
Silver Star Holdco, LLC, Star Residential Care LLC, Tygon Peak Capital Management II LLC
-
dba Star Hospice
- Community Based Hospice Care Agency
- Odessa, TX
- NPI 1417179292
Silver Star Holdco, LLC, Star Residential Care LLC, Tygon Peak Capital Management II LLC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.