Quivira Healthcare LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

QUIVIRA HEALTHCARE LLC

Practice address

1910 S Stapley Dr Ste 221-249
Mesa, AZ 85204-6674

Phone

(602) 609-6777

Fax

(602) 609-6777

NPI assigned

Apr 30, 2020

Last updated

Apr 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trevor Collette

Title

Member

Phone

(602) 609-6777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174144174. Details of each certification follow.

• CCN 031769 Hospice · Active · Details

Hospice certification: CCN 031769

Legal name

QUIVIRA HEALTHCARE LLC

Doing business as

ASPEN HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 21, 2021

Last certification

Dec 21, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Apr 15, 2020 in AZ

Enrollment address

17505 N 79TH Ave
Ste 108
Glendale, AZ 85308-8724

Listed as

Aspen HospiceCCN 031769 · All quality measures

Ownership

For-Profit

Certified

Dec 21, 2021

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

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

• Arun Lakshmipathy, M.D.

  • Internal Medicine Physician
  • Sun City West, AZ
  • NPI 1962469791

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Ambrose Healthcare LLC

  • Home Health Agency
  • Layton, UT
  • NPI 1912401613

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• Aspen Home Health Private Duty LLC

  dba IntegriCare of Eastern Idaho

  • Home Health Agency
  • Idaho Falls, ID
  • NPI 1063568178

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• Ninergk, LLC

  dba Aspen Home Health and Hospice

  • Community Based Hospice Care Agency
  • Idaho Falls, ID
  • NPI 1396891412

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• Sixrsig LLC

  dba Aspen Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1730478603

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• Sixrsig LLC

  dba San Antonio Home Health

  • Home Health Agency
  • San Antonio, TX
  • NPI 1881835585

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• The Aspen Group, Inc.

  dba Aspen Home Health

  • Home Health Agency
  • Idaho Falls, ID
  • NPI 1083760185

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• The Aspen Group, Inc.

  dba Rexburg Home Health and Hospice

  • Home Health Agency
  • Rexburg, ID
  • NPI 1710033832

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• Utah Home Health and Hospice LLC

  dba Utah Hospice

  • Community Based Hospice Care Agency
  • Orem, UT
  • NPI 1760705032

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• Utah Home Health and Hospice LLC

  • Home Health Agency
  • Provo, UT
  • NPI 1811088420

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• West Coast Home Health LLC

  • Home Health Agency
  • San Juan Capistrano, CA
  • NPI 1720484207

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Arun Lakshmipathy, M.D.

  • Internal Medicine Physician
  • Sun City West, AZ
  • NPI 1962469791

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1174144174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 S STAPLEY DR STE 221-249",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046674",
            "telephone_number": "602-609-6777",
            "fax_number": "602-609-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S STAPLEY DR STE 221-249",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046674",
            "telephone_number": "602-609-6777",
            "fax_number": "602-609-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUIVIRA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "COLLETTE",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-609-6777"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Galilea Quinones
• Irene L Quinones
• Luis Quintana, NP
• My Thuong Thi Quirino, PA-C
• Sherry Lynn Quiroz, LPN
• Quogen LLC
• Willie Quon, M.D.
• Junaid I. Qureshi, M.D.
• Shahbaz Qureshi, MD
• R Keith Farr DDS LLC

• Community Based Hospice Care Agency in Mesa, AZ
• Providers in Mesa, 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 Apr 30, 2020; 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.
• 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.