NPIMap

Organization Active NPI

Apricus Hospice and Palliative Care LLC

  • Community Based Hospice Care Agency
  • Dewey, AZ
National Provider Identifier
1104429919
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
APRICUS HOSPICE AND PALLIATIVE CARE LLC
Practice address
13207 E State Route 169 Ste B-2
Dewey, AZ 86327-0017
Phone
(928) 460-5223
Fax
(928) 460-5485
NPI assigned
Nov 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Emily Alvarez Hanson
Title
Member
Phone
(928) 460-5223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

13207 E State Route 169 Ste B-2
Dewey, AZ 86327-0017

Mailing address

13207 E State Route 169 Ste B-2
Dewey, AZ 86327-0017
Phone (928) 460-5223

Other names 1

  • Legacy Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210319001543 AZ Part A Provider - Hospice 3173930070 Practice locations: Dewey, AZ

Hospice certification: CCN 031774

Legal name
APRICUS HOSPICE AND PALLIATIVE CARE LLC
Doing business as
LEGACY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 22, 2021
Last certification
Dec 22, 2021
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Oct 29, 2020 in AZ
Enrollment address
13207 E State Route 169
Ste B-2
Dewey, AZ 86327-0017

Care Compare: Hospice

Medicare Care Compare
Listed as
Legacy HospiceCCN 031774
Ownership
Other
Certified
Dec 22, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Legacy Hospice Care LLC Organization, Dewey, AZ LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 10, 2021 100%
Beth Funk Individual W-2 Managing EmployeeDirector of Clinical Services Dec 1, 2023 20%
Emily Marie Alvarez Hanson Individual 5% Or Greater Indirect Ownership InterestCeo/Administrator Dec 1, 2023 10%
W-2 Managing EmployeeAdministrator Dec 1, 2023 80%
Operational/Managerial ControlAdministrator Dec 1, 2023 100%
Erik Paul Contreras Individual Contracted Managing EmployeeMD; Dec 7, 2023 100%
Paul David Salzwedel Individual 5% Or Greater Indirect Ownership InterestChief Financial Officer Dec 1, 2023 90%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1104429919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13207 E STATE ROUTE 169 STE B-2",
            "city": "DEWEY",
            "state": "AZ",
            "postal_code": "863270017",
            "telephone_number": "928-460-5223",
            "fax_number": "928-460-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13207 E STATE ROUTE 169 STE B-2",
            "city": "DEWEY",
            "state": "AZ",
            "postal_code": "863270017",
            "telephone_number": "928-460-5223",
            "fax_number": "928-460-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APRICUS HOSPICE AND PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ HANSON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "928-460-5223"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dewey, AZ

Sources for this page

Verify at the official NPI Registry.