MD Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MD HOSPICE LLC

Practice address

5201 Constitution Ave NE
Albuquerque, NM 87110-5813

Phone

(505) 910-4725

Fax

(505) 872-0451

NPI assigned

Apr 27, 2022

Organization subpart

No

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

Authorized official

Name

Gwen Sayler

Title

Cfo

Phone

(505) 633-8620

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Hospice certification: CCN 321589

Legal name

MD HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 21, 2022

Last certification

Nov 10, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Apr 27, 2022 in NM

Enrollment address

5201 Constitution Ave NE
Ste 103
Albuquerque, NM 87110-5813

Listed as

Interim HealthcareCCN 321589

Certified

Nov 21, 2022

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Affiliated clinicians 2

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

• Amit Bhandari, MD

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1598929176

  Hospice

  Care Compare affiliation
• Tamara Suzanne Hudson, MD

  • Family Medicine Physician
  • Bernalillo, NM
  • NPI 1003081928

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1649914482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 CONSTITUTION AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105813",
            "telephone_number": "505-910-4725",
            "fax_number": "505-872-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 CONSTITUTION AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105813",
            "telephone_number": "505-910-4725",
            "fax_number": "505-872-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "SAYLER",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "505-633-8620"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maura McWilliams, SLP
• MD Choice Hospice Inc
• MD for Men, LLC
• MD Health Care LLC
• MD Holdings LLC
• MD Urgent Care PC
• MD24 NM, Inc.
• Diane R Mead, MSW, LISW
• Hilary Mead
• Lindsay Meade, LINDSAY MEADE

• All providers in Albuquerque, NM
• Community Based Hospice Care Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.