Aurora Hospice, LLC.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AURORA HOSPICE, LLC.

Practice address

1930 S Alma School Rd Ste D201
Mesa, AZ 85210-3045

Phone

(323) 246-9978

NPI assigned

Mar 30, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Herbert Relampagos

Title

Owner

Phone

(323) 246-9978

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Hospice certification: CCN 031790

Legal name

AURORA HOSPICE, LLC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 2, 2022

Last certification

Mar 2, 2022

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

Jan 3, 2020 in AZ

Enrollment address

1930 S Alma School Rd
Ste D201
Mesa, AZ 85210-3045

Listed as

Aurora Hospice LLCCCN 031790

Ownership

For-Profit

Certified

Mar 2, 2022

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

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.

• Richard Kim Le, D.O

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1851393003

  Contracted Managing Employee

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Anne Janowicz, D.P.M.

  • Podiatrist
  • Scottsdale, AZ
  • NPI 1306978382
  NPD (past)
• Jamila Butcher, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Houston, TX
  • NPI 1639583388
  NPD (past)

Affiliated clinicians 1

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

• Richard Kim Le, D.O

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1851393003

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1013595230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD STE D201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103045",
            "telephone_number": "323-246-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD STE D201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103045",
            "telephone_number": "323-246-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA HOSPICE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "RELAMPAGOS",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-246-9978",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.