Organization Active NPI

Nana Hope Hospice North LLC

  • Community Based Hospice Care Agency
  • Prescott, AZ
National Provider Identifier
1104435379
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
NANA HOPE HOSPICE NORTH LLC
Practice address
609 W Gurley St Ste 1
Prescott, AZ 86305-3619
Phone
(480) 352-1667
NPI assigned
Jul 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Vahan Setyan
Title
Ceo
Phone
(480) 352-1667

Specialties & licenses 1

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

Addresses

Primary practice location

609 W Gurley St Ste 1
Prescott, AZ 86305-3619

Mailing address

609 W Gurley St Ste 1
Prescott, AZ 86305-3619
Phone (480) 352-1667

Other practice location 1

3855 Willow Creek Rd
Prescott, AZ 86301-3705
Phone (480) 352-1667

National Provider Directory

National Provider Directory

Locations

609 W Gurley St
Ste 1
Prescott, AZ 86305
Phone (480) 352-1667

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1104435379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W GURLEY ST STE 1",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053619",
            "telephone_number": "480-352-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W GURLEY ST STE 1",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053619",
            "telephone_number": "480-352-1667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3855 Willow Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863013705",
            "country_code": "US",
            "telephone_number": "480-352-1667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NANA HOPE HOSPICE NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "SETYAN",
        "authorized_official_first_name": "VAHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-352-1667"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.