NPIMap

Organization Active NPI

Hummingbird Healthcare LLC

Doing business as Emblem Hospice Tucson

  • Community Based Hospice Care Agency
  • Tucson, AZ
National Provider Identifier
1265193049
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HUMMINGBIRD HEALTHCARE LLC
Doing business as
Emblem Hospice Tucson
Practice address
1880 E River Rd Ste 210
Tucson, AZ 85718-5889
Phone
(520) 297-1460
NPI assigned
Jan 4, 2022
Last updated
Aug 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Amber Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

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

Addresses

Primary practice location

1880 E River Rd Ste 210
Tucson, AZ 85718-5889

Mailing address

1880 E River Rd Ste 210
Tucson, AZ 85718-5889
Phone (520) 297-1460

Other names 1

  • Emblem Hospice Tucson Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220203000334 AZ Part A Provider - Hospice 4082007695 Practice locations: Tucson, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265193049. Details of each certification follow.

Hospice certification: CCN 031624

Legal name
HUMMINGBIRD HEALTHCARE LLC
Doing business as
EMBLEM HOSPICE TUCSON
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 4, 2014
Last certification
Sep 4, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
1880 E River Rd
Ste 210
Tucson, AZ 85718-5889

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Emblem Hospice TucsonCCN 031624 · All quality measures
Ownership
For-Profit
Certified
Feb 4, 2014
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2095427Emblem Hospice Tucson1880 E River Rd Ste 210, Tucson, AZ 85718Certificate of waiverMay 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Agape South2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Direct Ownership Interest Feb 14, 2022 100%
Brent Mills Individual Corporate OfficerTreasurer Mar 26, 2026
Brent Guerisoli Individual Corporate DirectorDirector Mar 26, 2026
Kevin M Khouie Individual Contracted Managing EmployeeMedical Director Feb 15, 2023
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 14, 2022 100%
Thomas Dutton Individual W-2 Managing EmployeeAdministrator Dec 1, 2023
John J Gochnour Individual Corporate OfficerManager/President Mar 26, 2026
Amber Tueller Individual Corporate OfficerSecretary Mar 26, 2026
Elliot McMillan Individual Corporate DirectorVice President Mar 26, 2026

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 141

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

View all 141

Change-of-ownership history 1

DateEventCounterparty
Feb 14, 2022 Change of OwnershipThis provider was the buyer Emblem Hospice TucsonCCN 031624, AZ, NPI 1730584897

Change of ownership 1

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

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": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1265193049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 E RIVER RD STE 210",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185889",
            "telephone_number": "520-297-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 E RIVER RD STE 210",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185889",
            "telephone_number": "520-297-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMMINGBIRD HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emblem Hospice Tucson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.