Organization Active NPI

Hearts of Hospice LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
National Provider Identifier
1336962091
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Nov 1, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Enrollment address
11225 N 28TH Dr
Ste A102-06
Phoenix, AZ 85029-5606

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
03D2282610Hearts of Hospice LLC11225 N 28TH Drive Ste A102-06, Phoenix, AZ 85029Certificate of waiverMay 22, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
James Nicholas Yarusso Individual Contracted Managing EmployeeMD; Jun 5, 2024
Melissa Anderson Individual 5% Or Greater Direct Ownership InterestOwner Jun 5, 2024 100%
W-2 Managing EmployeeAd; Jun 5, 2024 100%
Operational/Managerial ControlOwner 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.

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

Verify at the official NPI Registry.