American Care Concepts Hospice LLC

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

Legal business name

AMERICAN CARE CONCEPTS HOSPICE LLC

Practice address

765 N. Lindsay Rd.
Ste. 208
Gilbert, AZ 85234

Phone

(480) 246-3593

Fax

(480) 246-3547

NPI assigned

Dec 23, 2019

Last updated

Dec 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca L Knourek

Title

Coo

Phone

(480) 246-3593

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073152070. Details of each certification follow.

• CCN 001557 Hospice · Active · Details

Hospice certification: CCN 001557

Legal name

AMERICAN CARE CONCEPTS HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 27, 2023

Last certification

Jun 22, 2023

Organization structure

LLCProprietary

Incorporated

Nov 7, 2019 in AZ

Enrollment address

105 N Pasadena St
Ste D
Gilbert, AZ 85233-5013

Listed as

American Care Concepts Hospice LLCCCN 001557 · All quality measures

Certified

Jun 27, 2023

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

Locations

All disclosed owners & managing parties 3

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.

• Khalid M Shirif, M.D.

  • Hospice and Palliative Medicine (Surgery) Physician
  • Gilbert, AZ
  • NPI 1407927130

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khalid M Shirif, M.D.

  • Hospice and Palliative Medicine (Surgery) Physician
  • Gilbert, AZ
  • NPI 1407927130

  Geriatric Medicine

  NPD

Affiliated clinicians 1

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

• Khalid M Shirif, M.D.

  • Hospice and Palliative Medicine (Surgery) Physician
  • Gilbert, AZ
  • NPI 1407927130
  Care Compare affiliation

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1073152070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 N. LINDSAY RD.",
            "address_2": "STE. 208",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "480-246-3593",
            "fax_number": "480-246-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 N. LINDSAY RD.",
            "address_2": "STE. 208",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "480-246-3593",
            "fax_number": "480-246-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CARE CONCEPTS HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "KNOUREK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "480-246-3593",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Amarillas, FNP-C, PMHNP-BC
• Kelly Amaturo, PTA
• Jasmine Amavisca
• Herby Ambroise, MD
• American Care Concepts Gip LLC
• American Leadership Academy
• American Medical Homecare Alliance Inc. (Canyon Home Care & Hospice)
• Amg Podiatry LLC
• Dimple Amin, FNP-C
• Lauren Mehry Amirhamzeh, RDN

• Inpatient Hospice in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Inpatient Hospice in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.