NPI 1154939031 · live from the CMS NPI Registry
Enchanted Sky Hospice LLC
Hospice Care, Community Based in Santa Fe, NM. National Provider Identifier 1154939031, active.
NPI record
| NPI | 1154939031 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 |
| Practice phone | 505-982-0209 |
| Mailing address | 1692b Hospital Dr Ste 201a, Santa Fe, NM 87505 |
| Enumerated | July 16, 2020 |
| Last updated | August 18, 2022 |
| Authorized official | Joseph Bacharka, Administrator |
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.