NPIMap

Organization Active NPI

Del Corazon Hospice LLC

  • Community Based Hospice Care Agency
  • Santa Fe, NM
National Provider Identifier
1629367750
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
DEL CORAZON HOSPICE LLC
Practice address
811 Saint Michaels Dr
Suite 207
Santa Fe, NM 87505-7641
Phone
(505) 988-2049
Fax
(505) 982-2930
NPI assigned
Mar 29, 2011
Last updated
Mar 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Judith Hurula, RN
Title
Executive Director
Phone
(505) 988-2049

Specialties & licenses 1

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

Addresses

Primary practice location

811 Saint Michaels Dr
Suite 207
Santa Fe, NM 87505-7641

Mailing address

811 Saint Michaels Dr Ste 207
Santa Fe, NM 87505-7642
Phone (505) 988-2049

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110721000569 NM Part A Provider - Hospice 9638347412 Practice locations: Santa Fe, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629367750. Details of each certification follow.

Hospice certification: CCN 321565

Legal name
DEL CORAZON HOSPICE LLC
Doing business as
DEL CORAZON HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 20, 2012
Last certification
Nov 20, 2020
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Jan 31, 2011 in NM
Enrollment address
811 Saint Michael's Drive
Suite 207
Santa Fe, NM 87505-7642

Care Compare: Hospice

Medicare Care Compare
Listed as
Del Corazon Hospice LLCCCN 321565 · All quality measures
Ownership
Other
Certified
Jun 20, 2012
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

811 Saint Michaels Dr
Ste 207
Santa Fe, NM 87505
Phone (505) 988-2049

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
At Twilight Hospice & Palliative Care LLC a Delaware LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2025 100%
David Rodriguez Individual W-2 Managing EmployeeAd; Apr 1, 2019
Jamie L Gagan Individual Contracted Managing EmployeeMD; Aug 2, 2022
Kenwood Trust Organization, Los Angeles, CA 5% Or Greater Indirect Ownership Interest Dec 1, 2025 16%
Bryn Mawr Trust Organization, Los Angeles, CA 5% Or Greater Indirect Ownership Interest Dec 1, 2025 76%
David Garetz Individual Corporate OfficerCfo Dec 1, 2025

Owners & managing parties with NPI records 1

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

Practitioners 2

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": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1629367750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 SAINT MICHAELS DR STE 207",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057642",
            "telephone_number": "505-988-2049",
            "fax_number": "505-992-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 SAINT MICHAELS DR",
            "address_2": "SUITE 207",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057641",
            "telephone_number": "505-988-2049",
            "fax_number": "505-982-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL CORAZON HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "HURULA",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-988-2049",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.