Active NPI
Arizona Hospice Care Inc
Doing business as Arizona Heart Hospice
- Community Based Hospice Care Agency
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare: Hospice
Medicare Care Compare- Listed as
- Arizona Hospice Care Inc
- Certified
- Dec 30, 2022
- Medicare certification status
- Active
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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2338847 | Arizona Hospice Care Dba Arizona Heart Hospice | Certificate of waiver | Feb 18, 2028 |
National Provider Directory
National Provider DirectoryLocations
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
- Arizona Home and Caring Community LLC
- Arizona Home and Caring Community LLC
- Arizona Home Care Providers
- Arizona Homes of Miracles LLC
- Arizona Homes of Miracles LLC
- Arizona Hospice Care Incorporated
- Arizona Hospitalists, PLLC
- Arizona Housecalls LLC (AZ Housecalls)
- Arizona Id Consultants LLC
- Arizona Imaging Specialists, LLC
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.