Blue Wings Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BLUE WINGS HOSPICE INC

Practice address

1 S Church Ave Ste 1214
Tucson, AZ 85701-1612

Phone

(818) 960-9634

NPI assigned

Sep 13, 2021

Last updated

Sep 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edita Hovhannisyan

Title

Ceo

Phone

(818) 960-9634

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

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

• Azorna Healthcare Tucson LLC

  • Community Based Hospice Care Agency
  • Tucson, AZ
  • NPI 1194593509

  Sold to, 2023-12-29

  CMS change of ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1366111270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S CHURCH AVE STE 1214",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857011612",
            "telephone_number": "818-960-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S CHURCH AVE STE 1214",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857011612",
            "telephone_number": "818-960-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WINGS HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "HOVHANNISYAN",
        "authorized_official_first_name": "EDITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-960-9634"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Tyler Bluder, PHARMD
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• Marlene Bluestein, M.D.

• Community Based Hospice Care Agency in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.