Organization Active NPI

Arizona Hospice Care Inc

Doing business as Arizona Heart Hospice

  • Community Based Hospice Care Agency
  • Phoenix, AZ
National Provider Identifier
1144995929
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ARIZONA HOSPICE CARE INC
Doing business as
Arizona Heart Hospice
Practice address
3101 N Central Ave Ste 168
Phoenix, AZ 85012-3609
Phone
(480) 428-0262
Fax
(480) 428-0263
NPI assigned
Aug 12, 2021
Last updated
Apr 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Jamal Mansur
Title
Administrator
Phone
(480) 497-0302

Specialties & licenses 1

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

Addresses

Primary practice location

3101 N Central Ave Ste 168
Phoenix, AZ 85012-3609

Mailing address

3101 N Central Ave Ste 168
Phoenix, AZ 85012-3609
Phone (480) 428-0262

Other names 1

  • Arizona Heart Hospice Doing business as

Care Compare: Hospice

Medicare Care Compare
Listed as
Arizona Hospice Care IncCCN 001552
Certified
Dec 30, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

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
03D2338847Arizona Hospice Care Dba Arizona Heart Hospice3101 N Central Aveste 0168, Phoenix, AZ 85012Certificate of waiverFeb 18, 2028

National Provider Directory

National Provider Directory

Locations

13201 N 35th Ave
Ste B9Z
Phoenix, AZ 85029
Phone (623) 323-5199

3101 N Central Ave
Ste 168
Phoenix, AZ 85012
Phone (480) 428-0262

Practitioners & affiliated clinicians

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": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1144995929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE 168",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123609",
            "telephone_number": "480-428-0262",
            "fax_number": "480-428-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE 168",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123609",
            "telephone_number": "480-428-0262",
            "fax_number": "480-428-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "MANSUR",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-497-0302"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Heart Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.