Fountain Hills Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FOUNTAIN HILLS HOSPICE, LLC

Practice address

1801 S Jentilly LN Ste A10
Tempe, AZ 85281-5738

Phone

(888) 900-4543

Fax

(480) 500-7996

NPI assigned

Feb 18, 2017

Organization subpart

No

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

Authorized official

Name

Grigor Kepenyan

Title

Manager

Phone

(480) 500-7394

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Jentilly Healthcare LLC

  • Community Based Hospice Care Agency
  • Casa Grande, AZ
  • NPI 1730785924

  Sold to, 2021-01-01

  CMS change of ownership

Practitioners 1

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

• Tatevik A Terteryan, FNP-C

  • Family Nurse Practitioner
  • West Hollywood, CA
  • NPI 1881371847
  NPD

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

{
    "created_epoch": "1487376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1104365477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17007 E COLONY DR STE 107",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852684672",
            "telephone_number": "480-500-7394",
            "fax_number": "480-500-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S JENTILLY LN STE A10",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815738",
            "telephone_number": "888-900-4543",
            "fax_number": "480-500-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN HILLS HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-18",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "KEPENYAN",
        "authorized_official_first_name": "GRIGOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-500-7394"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laura Foster, CFY-SLP
• Marisa Nicole Foster
• Founders Healthcare LLC
• Angela L Fountain, CRNA
• Fountains of Hope Behavioral Health LLC
• Four Peaks Chiropractic
• Terrain Foust, FNP
• Fox Anesthesia Consultants LLC

• Community Based Hospice Care Agency in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.