NPIMap

Organization Active NPI

United Hospice & Palliative Care of Arizona LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
National Provider Identifier
1114562907
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
UNITED HOSPICE & PALLIATIVE CARE OF ARIZONA LLC
Practice address
2222 W Parkside LN Ste 109
Phoenix, AZ 85027-1260
Phone
(602) 296-4717
Fax
(480) 542-6476
NPI assigned
Nov 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Harvey Hill
Title
Partner
Phone
(480) 299-7108

Specialties & licenses 1

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

Addresses

Primary practice location

2222 W Parkside LN Ste 109
Phoenix, AZ 85027-1260

Mailing address

2222 W Parkside LN Ste 109
Phoenix, AZ 85027-1260

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.unitedhospiceaz.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191217002001 AZ Part A Provider - Hospice 1355775735 Practice locations: Phoenix, AZ
O20251118002306 AZ Part B Supplier - Clinic/Group Practice 1355775735 Receives reassigned benefits from 3 practitioners
Practice locations: Phoenix, AZ

Hospice certification: CCN 031709

Legal name
UNITED HOSPICE & PALLIATIVE CARE OF ARIZONA LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 8, 2020
Last certification
May 8, 2020
Ownership / control type
Other
Organization structure
LLCProprietary
Enrollment address
2222 W Parkside LN
Ste 109
Phoenix, AZ 85027-1260

Care Compare: Hospice

Medicare Care Compare
Listed as
United Hospice & Palliative Care of ArizonaCCN 031709
Ownership
Other
Certified
May 8, 2020
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2175917United Hospice & Palliative Care of Arizona2222 W Parkside Lane, #109, Phoenix, AZ 85027Certificate of waiverDec 3, 2027

National Provider Directory

National Provider Directory

Locations

2630 E Mohawk Ln
Ste 132
Phoenix, AZ 85050
Phone (602) 653-7816

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
Vincent Chiarelli Individual 5% Or Greater Direct Ownership Interest30 Jul 22, 2025
W-2 Managing Employee Jul 22, 2025 30%
Philip Gallinaro Individual 5% Or Greater Direct Ownership InterestOwner/Administrator Nov 10, 2019 10%
W-2 Managing EmployeeAd; Nov 10, 2019 10%
Max Dhoua Thao Individual 5% Or Greater Direct Ownership Interest30 Jul 22, 2025
W-2 Managing Employee Jul 22, 2025 30%
Nathan Kaplan Individual 5% Or Greater Direct Ownership Interest Jul 22, 2025 30%
W-2 Managing Employee Jul 22, 2025 30%
Richard Wolfson Individual Contracted Managing EmployeeMD; Sep 12, 2025

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 8

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": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1114562907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W PARKSIDE LN STE 109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W PARKSIDE LN STE 109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271260",
            "telephone_number": "602-296-4717",
            "fax_number": "480-542-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HOSPICE & PALLIATIVE CARE OF ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "480-299-7108"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.unitedhospiceaz.com",
            "affiliation": "N",
            "address_1": "2222 W Parkside Ln Ste 109",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850271260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.