Luna del Valle Healthcare Services

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LUNA DEL VALLE HEALTHCARE SERVICES

Practice address

4273 Montgomery Blvd NE Ste K-110
Albuquerque, NM 87109-6748

Phone

(505) 365-0321

Fax

(505) 520-0131

NPI assigned

Jul 11, 2022

Organization subpart

Yes

Parent organization

LUNA DEL VALLE HEALTHCARE SERVICESAs reported in NPPES

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

Authorized official

Name

Ms. Kaitlyn McCoy

Title

Coo

Phone

(505) 573-9590

Specialties & licenses 1

Addresses

Other names 1

• Luna Del Valle Hospice Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Hospice certification: CCN 321587

Legal name

LUNA DEL VALLE HEALTHCARE SERVICES

Doing business as

LUNA DEL VALLE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 29, 2022

Last certification

Dec 15, 2022

Organization structure

CorporationProprietary

Incorporated

May 23, 2022 in NM

Enrollment address

4273 Montgomery Blvd NE
Ste 110
Albuquerque, NM 87109-6746

Listed as

Luna del ValleCCN 321587

Certified

Dec 29, 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

Tax ID family

Sol Amor Senior Care2 organizations share this tax ID, including this one

Part of

Sol Amor Senior Care

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sol Amor Senior Care

  • Home Health Agency
  • Albuquerque, NM
  • NPI 1558068205
  NPD tax ID

Locations

All disclosed owners & managing parties 3

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 1

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

• Leandro Xavier Centenera, MD

  • General Practice Physician
  • Albuquerque, NM
  • NPI 1194760678

  5% Or Greater Direct Ownership Interest

  CMS ownership

Affiliated clinicians 2

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

• Leandro Xavier Centenera, MD

  • General Practice Physician
  • Albuquerque, NM
  • NPI 1194760678

  Hospice

  Care Compare affiliation
• Gerald Robertson, MD

  • Medical Oncology Physician
  • Gallup, NM
  • NPI 1831161082

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1659005171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 MONTGOMERY BLVD NE STE K-110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096748",
            "telephone_number": "505-365-0321",
            "fax_number": "505-520-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4273 MONTGOMERY BLVD NE STE K-110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096748",
            "telephone_number": "505-365-0321",
            "fax_number": "505-520-0131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309 Saint St NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871125134",
            "country_code": "US",
            "telephone_number": "505-554-7075",
            "fax_number": "505-520-0131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUNA DEL VALLE HEALTHCARE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUNA DEL VALLE HEALTHCARE SERVICES",
        "enumeration_date": "2022-07-11",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "505-573-9590",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmccoy@lunadelvallehcs.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1309 Saint St NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871125134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Luna Del Valle Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Luna Del Valle Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark M Luley, D.O.
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• Lumina Mental Health, LLC
• Luminaria ABA Therapy LLC
• Clara Luna Fernandez, RBT
• Paulina Del Carmen Luna Iniguez, M.D.
• Luna Vista Home Healthcare LLC
• Luna Vista Hospice LLC
• Luna X2 LLC

• Community Based Hospice Care Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• 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 Oct 10, 2024; 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.