National Provider Identifier Database

LUNA VISTA HOSPICE LLC
Hospice Care, Community Based


Contact Information

LUNA VISTA HOSPICE LLC
2116 VISTA OESTE NW
# 1B
ALBUQUERQUE, NM87120-4340
Phone: 505-977-1165
Fax: 505-247-6811
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for LUNA VISTA HOSPICE LLC

NPI Number 1720634165
Legal business name
LBN
LUNA VISTA HOSPICE LLC
Authorized official JAMIE GONZALEZ - (ADMINISTRATOR /OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/12/2019
Last updated 08/24/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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