Organization Active NPI

Lumicare Health Az1 LLC

Doing business as Choice Hospice of Arizona

  • Community Based Hospice Care Agency
  • Tucson, AZ
National Provider Identifier
1265055529
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LUMICARE HEALTH AZ1 LLC
Doing business as
Choice Hospice of Arizona
Practice address
5055 E Broadway Blvd Ste C215
Tucson, AZ 85711-3640
Phone
(520) 230-3636
Fax
(520) 230-5699
NPI assigned
May 21, 2020
Last updated
Oct 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Katie Sandlin, MLS BSN RN
Title
Executive Director of Compliance
Phone
(903) 714-3439

Specialties & licenses 1

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

Addresses

Primary practice location

5055 E Broadway Blvd Ste C215
Tucson, AZ 85711-3640

Mailing address

6760 Old Jacksonville Hwy Ste 101
Tyler, TX 75703-0566

Other names 1

  • Choice Hospice of Arizona Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200612001384 AZ Part A Provider - Hospice 6709208150 Practice locations: Tucson, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265055529. Details of each certification follow.

Hospice certification: CCN 031716

Legal name
LUMICARE HEALTH AZ1 LLC
Doing business as
CHOICE HOSPICE OF ARIZONA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 1, 2020
Last certification
Oct 1, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Sep 6, 2019 in AZ
Enrollment address
5055 E Broadway Blvd
Ste C215
Tucson, AZ 85711-3640

Care Compare: Hospice

Medicare Care Compare
Listed as
Choice Hospice of ArizonaCCN 031716 · All quality measures
Ownership
For-Profit
Certified
Oct 1, 2020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

8777 E Hartford Dr
Ste 130
Scottsdale, AZ 85255
Phone (248) 227-1055

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Choice Health at Home Holdings, LLC Organization, Tyler, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 23, 2023 100%
Jacob T Woods Individual Contracted Managing EmployeeMD; Mar 23, 2026
Choice Lumicare Intermediateco LLC Organization, Tyler, TX Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 23, 2023 100%
Katrina Lanier Individual Corporate Officer Oct 23, 2023
W-2 Managing Employee Oct 23, 2023
Tcfiii CH Investor LLC Organization, Dallas, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 23, 2023 65.43%
David Jackson Individual 5% Or Greater Indirect Ownership Interest Oct 23, 2023 8.94%
Corporate OfficerChief Exec Officer Oct 23, 2023
Corporate Director Oct 23, 2023
Choice Rehab Holdings, Inc. Organization, Tyler, TX Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 23, 2023 8.93%
Katie Elizabeth Sandlin Individual W-2 Managing EmployeeExecutive Director of Compliance Oct 23, 2023
Tcfiii CH LLC Organization, Dallas, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 23, 2023 65.43%
Choice Health at Home, LLC Organization, Tyler, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 23, 2023
Coltala Choice, LLC Organization, Tyler, TX LLC 5% Or Greater Indirect Ownership Interest Oct 23, 2023 16.61%
Choice Health at Home Intermediate Holdings, LLC Organization, Tyler, TX LLC 5% Or Greater Indirect Ownership Interest Oct 23, 2023 99.99%
Choice Lumicare of Arizona LLC Organization, Tyler, TX Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 23, 2023 100%
Trive Capital Fund III LP Organization, Dallas, TX 5% Or Greater Indirect Ownership Interest Oct 23, 2023 42.11%
Tcfiii CH SPV LP Organization, Dallas, TX 5% Or Greater Indirect Ownership Interest Oct 23, 2023 23.31%
Karen Brannon Individual W-2 Managing EmployeeAd; Jul 15, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 60

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

View all 60

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1265055529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 OLD JACKSONVILLE HWY STE 101",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 E BROADWAY BLVD STE C215",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113640",
            "telephone_number": "520-230-3636",
            "fax_number": "520-230-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMICARE HEALTH AZ1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "SANDLIN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "903-714-3439",
        "authorized_official_credential": "MLS BSN RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Choice Hospice of Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.