Active NPI
Soreo Pathways, LLC
- Community Based Hospice Care Agency
- Tucson, AZ
National Provider Identifier
1235449182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- SOREO PATHWAYS, LLC
- Practice address
- 2475 E. Water St
Tucson, AZ 85719 - Phone
- (520) 547-7000
- Fax
- (520) 547-7002
- NPI assigned
- Oct 13, 2010
- 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
- Theresa A. Linnane
- Title
- Executive Director
- Phone
- (520) 547-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2475 E. Water St
Tucson, AZ 85719
Mailing address
2475 E Water St
Tucson, AZ 85719
Phone (520) 547-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110722000078 | AZ | Part A Provider - Hospice | 0042488868 | Practice locations: Tucson, AZ |
Hospice certification: CCN 031599
- Legal name
- SOREO PATHWAYS, LLC
- Doing business as
- ARIA HOSPICE COMFORT CARE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 14, 2011
- Last certification
- Sep 16, 2020
- Ownership / control type
- Other
- Organization structure
- LLC
- Enrollment address
- 7225 N Mona Lisa Rd
Ste 101
Tucson, AZ 85741-4528
Care Compare: Hospice
Medicare Care Compare- Listed as
- Aria Hospice Comfort Care
- Ownership
- Other
- Certified
- Oct 14, 2011
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 03D2054434 | Soreo Pathways, Dba Aria Hospice Comfort | Certificate of waiver | Feb 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
7225 N Mona Lisa Rd
Ste 101
Tucson, AZ 85741
Phone (520) 547-7000
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Wendy Swager | 5% Or Greater Direct Ownership Interest | Sep 28, 2010 | 50% |
| Steven M Rayle | W-2 Managing Employee | Oct 6, 2020 | |
| Nitza Lopez | W-2 Managing Employee | Oct 6, 2021 | |
| Raymond a Wallace | 5% Or Greater Direct Ownership Interest | Jan 1, 2014 | 50% |
| Corporate Officer | Jan 1, 2012 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Tucson, AZ
- NPI 1205792074
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospice Registered Nurse
- Oro Valley, AZ
- NPI 1245008499
-
- Adult Health Nurse Practitioner
- Tucson, AZ
- NPI 1467091512
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Tucson, AZ
- NPI 1497588420
Affiliated clinicians 5
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": "1286928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407888000000",
"number": "1235449182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2475 E WATER ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85719",
"telephone_number": "520-547-7000",
"fax_number": "520-547-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2475 E. WATER ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85719",
"telephone_number": "520-547-7000",
"fax_number": "520-547-7002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOREO PATHWAYS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-13",
"last_updated": "2014-08-13",
"status": "A",
"authorized_official_last_name": "LINNANE",
"authorized_official_first_name": "THERESA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "520-547-7000"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.