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NPI 1740997840 · live from the CMS NPI Registry

Lilycare Of New Mexico LLC

Hospice Care, Community Based in Albuquerque, NM. National Provider Identifier 1740997840, active.

NPI record

NPI1740997840 Type 2 · organization
StatusActive
Primary specialtyHospice Care, Community Based 251G00000X
Practice location4811 Hardware Dr. Ne Ste C-1, Albuquerque, NM 87109
Practice phone505-808-3202
Mailing address4811 Hardware Dr Ne Ste C-1, Albuquerque, NM 87109
EnumeratedOctober 31, 2022
Last updatedSeptember 5, 2025
Authorized officialAri Stawis, Coo

Taxonomies and licenses

TaxonomyCodeLicense
Hospice Care, Community Based primary251G00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.