Organization Active NPI

Blue Sky Hospice Care Inc

  • Community Based Hospice Care Agency
  • Phoenix, AZ
National Provider Identifier
1104585918
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BLUE SKY HOSPICE CARE INC
Practice address
4150 W Peoria Ave Ste B114-C
Phoenix, AZ 85029-3900
Phone
(480) 885-5283
NPI assigned
Dec 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Anna Vardanyan
Title
Ceo/Owner
Phone
(480) 885-5283

Specialties & licenses 1

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

Addresses

Primary practice location

4150 W Peoria Ave Ste B114-C
Phoenix, AZ 85029-3900

Mailing address

4150 W Peoria Ave Ste B114-C
Phoenix, AZ 85029-3900
Phone (480) 885-5283

National Provider Directory

National Provider Directory

Locations

4150 W Peoria Ave
Ste B114C
Phoenix, AZ 85029
Phone (480) 780-9178

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1104585918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 W PEORIA AVE STE B114-C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293900",
            "telephone_number": "480-885-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 W PEORIA AVE STE B114-C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293900",
            "telephone_number": "480-885-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "VARDANYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "480-885-5283"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.