NPI 1104563923 · live from the CMS NPI Registry
Bosque Trails Hospice LLC
Hospice Care, Community Based in Albuquerque, NM. National Provider Identifier 1104563923, active.
NPI record
| NPI | 1104563923 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 303 San Mateo Blvd Ne Ste 104, Albuquerque, NM 87108 |
| Practice phone | 505-808-2870 |
| Mailing address | 1700 Louisiana Blvd Ne Ste 120, Albuquerque, NM 87110 |
| Enumerated | May 13, 2022 |
| Last updated | September 9, 2025 |
| Authorized official | Adam Roach, President/RN |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.