Organization Active NPI

Zia Hospice Inc.

  • Community Based Hospice Care Agency
  • Albuquerque, NM
National Provider Identifier
1508975509
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
3063A2 Issued in NM
Legal business name
ZIA HOSPICE INC.
Practice address
4811 Hardware Dr NE
Ste E-4
Albuquerque, NM 87109-2017
Phone
(505) 830-2978
Fax
(505) 830-2988
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Ms. Sherry Lee Williams, RN
Title
Admin
Phone
(505) 830-2978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 3063A2 NM Primary

Addresses

Primary practice location

4811 Hardware Dr NE
Ste E-4
Albuquerque, NM 87109-2017

Mailing address

4811 Hardware Dr NE
Ste E-4
Albuquerque, NM 87109-2017
Phone (505) 830-2978

Other identifiers 1

IdentifierTypeStateIssuer
N4643MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1508975509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 HARDWARE DR NE",
            "address_2": "STE E-4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092017",
            "telephone_number": "505-830-2978",
            "fax_number": "505-830-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 HARDWARE DR NE",
            "address_2": "STE E-4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092017",
            "telephone_number": "505-830-2978",
            "fax_number": "505-830-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIA HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "505-830-2978",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NM",
            "license": "3063A2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N4643",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.