Arizona Hospice MD Partners LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ARIZONA HOSPICE MD PARTNERS LLC

Practice address

12425 W Bell Rd Ste 107
Surprise, AZ 85378-9022

Phone

(844) 428-3644

NPI assigned

Mar 29, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Jamin Ruark

Title

Chief Administrative Office

Phone

(734) 560-8953

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Arizona Hospice Safford, LLC

  • Community Based Hospice Care Agency
  • Safford, AZ
  • NPI 1386229144

  Sold to, 2021-06-15

  CMS change of ownership

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1154853257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12425 W BELL RD STE 107",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789022",
            "telephone_number": "844-428-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12425 W BELL RD STE 107",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789022",
            "telephone_number": "844-428-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA HOSPICE MD PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "RUARK",
        "authorized_official_first_name": "JAMIN",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICE",
        "authorized_official_telephone_number": "734-560-8953",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Arizona Institute for Restorative Foot and Ankle Surgery Inc
• Arizona Integrated Care Services
• Arizona Kids Pediatrics LTD
• Arizona Lung Clinic PLLC
• Arizona Lung Clinic PLLC

• Community Based Hospice Care Agency in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.