Lilycare of New Mexico LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LILYCARE OF NEW MEXICO LLC

Practice address

4811 Hardware Dr. NE Ste C-1
Albuquerque, NM 87109-2023

Phone

(505) 808-3202

NPI assigned

Oct 31, 2022

Last updated

Sep 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ari Stawis

Title

Coo

Phone

(347) 424-8737

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740997840. Details of each certification follow.

• CCN 321593 Hospice · Active · Details

Hospice certification: CCN 321593

Legal name

LILYCARE OF NEW MEXICO LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 10, 2023

Last certification

Jul 27, 2023

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Jul 12, 2022 in NM

Enrollment address

4811 Hardware Dr NE
Ste C-1
Albuquerque, NM 87109-2021

Listed as

Lilycare of New MexicoCCN 321593 · All quality measures

Certified

Aug 10, 2023

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 7

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.

• Linda Lorene Garcia, MD

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1467508077

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Lilycare of New Hampshire LLC

  dba Lilycare of New Hampshire

  • Community Based Hospice Care Agency
  • Bedford, NH
  • NPI 1073210191

  Lilycare Holdings, LLC, Lilycare Owners Holdco, LLC

  CMS ownership
• Lilycare of New Jersey LLC

  dba Lilycare of New Jersey

  • Community Based Hospice Care Agency
  • Florham Park, NJ
  • NPI 1811694250

  Lilycare Holdings, LLC, Lilycare Owners Holdco, LLC

  CMS ownership

Practitioners 1

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.

• Devang Ramesh Butani, DO

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1245585017
  NPD (past)

Affiliated clinicians 1

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

• Devang Ramesh Butani, DO

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1245585017

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1740997840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 HARDWARE DR NE STE C-1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092021",
            "telephone_number": "505-808-3202",
            "fax_number": "505-544-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 HARDWARE DR. NE STE C-1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092023",
            "telephone_number": "505-808-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILYCARE OF NEW MEXICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "STAWIS",
        "authorized_official_first_name": "ARI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "347-424-8737"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Lillie, CRNA
• Elijah Lilly
• Erin Missy Lilly, LCSW
• Lilly's Internal Light, LLC
• Margaret Lillywhite
• Daniel Lim, MD
• John Theodore Lim, DDS
• Lima Kai Massage Inc
• Andrea Lima, FNP-C
• Dustin Thomas Lima, DO

• 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 Sep 5, 2025; 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.