Redwood Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

REDWOOD HOSPICE LLC

Practice address

300 S Alto Mesa Dr # a&B
El Paso, TX 79912-4433

Phone

(915) 257-7800

NPI assigned

Mar 24, 2021

Organization subpart

No

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

Authorized official

Name

Tracy Gleason

Title

Owner

Phone

(972) 922-5595

Specialties & licenses 1

Addresses

Other names 1

• Redwood Hospice LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 971758

Legal name

REDWOOD HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 14, 2022

Last certification

Mar 14, 2022

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

Mar 15, 2021 in TX

Enrollment address

8746 Wurzbach Rd
Ste 201C
San Antonio, TX 78240-1100

Listed as

Southern Sky HospiceCCN 971758

Ownership

For-Profit

Certified

Mar 14, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 18

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

Owners & managing parties with NPI records 2

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

• Edward Sebastian Leyva, MD

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1922331776

  Contracted Managing Employee

  CMS ownership
• Fahad Omar, MD

  • Pulmonary Disease Physician
  • El Paso, TX
  • NPI 1821227471

  5% Or Greater Indirect Ownership Interest

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Edward Sebastian Leyva, MD

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1922331776

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1568049948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S ALTO MESA DR # A&B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124433",
            "telephone_number": "915-257-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S ALTO MESA DR # A&B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124433",
            "telephone_number": "915-257-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-922-5595"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwood Hospice LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Redwood Hospice LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in El Paso, TX
• Providers in El Paso, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.