Active NPI
Hearts of Hospice LLC
- Community Based Hospice Care Agency
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HEARTS OF HOSPICE LLC
- Practice address
- 11225 N 28TH Dr Ste A102-06
Phoenix, AZ 85029-5606 - Phone
- (480) 572-0132
- Fax
- (480) 572-0133
- NPI assigned
- Nov 1, 2024
- 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
- Melissa Anderson
- Title
- Executive Director
- Phone
- (480) 572-0132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
11225 N 28TH Dr Ste A102-06
Phoenix, AZ 85029-5606
Mailing address
11225 N 28TH Dr Ste A102-06
Phoenix, AZ 85029-5606
Phone (480) 572-0132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250207001260 | AZ | Part A Provider - Hospice | 6800326737 | Practice locations: Phoenix, AZ |
Hospice certification: CCN 001584
- Legal name
- HEARTS OF HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 9, 2025
- Last certification
- Oct 9, 2025
- Organization structure
- LLC
- Enrollment address
- 11225 N 28TH Dr
Ste A102-06
Phoenix, AZ 85029-5606
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 |
|---|---|---|---|
| 03D2282610 | Hearts of Hospice LLC | Certificate of waiver | May 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
11225 N 28th Dr
Ste A10206
Phoenix, AZ 85029
Phone (480) 572-0132
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| James Nicholas Yarusso | Contracted Managing Employee | Jun 5, 2024 | |
| Melissa Anderson | 5% Or Greater Direct Ownership Interest | Jun 5, 2024 | 100% |
| W-2 Managing Employee | Jun 5, 2024 | 100% | |
| Operational/Managerial Control | Jun 5, 2024 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- General Practice Physician
- Mesa, AZ
- NPI 1871855072
Contracted Managing Employee
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730419200000",
"number": "1336962091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11225 N 28TH DR STE A102-06",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850295606",
"telephone_number": "480-572-0132",
"fax_number": "480-572-0133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11225 N 28TH DR STE A102-06",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850295606",
"telephone_number": "480-572-0132",
"fax_number": "480-572-0133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTS OF HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-01",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "480-572-0132"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.