NPIMap

Organization Active NPI

Eh Health Hospice of the Southwest, LLC

  • Community Based Hospice Care Agency
  • Mesa, AZ
National Provider Identifier
1366170367
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
EH HEALTH HOSPICE OF THE SOUTHWEST, LLC
Practice address
1635 N Greenfield Rd Ste 126
Mesa, AZ 85205-4011
Phone
(480) 407-4597
NPI assigned
Aug 9, 2022
Organization subpart
Yes
Parent organization
ENHABIT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Lisa M Arbuckle
Title
Director, Licensing & Enrollment
Phone
(214) 239-6500

Specialties & licenses 1

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

Addresses

Primary practice location

1635 N Greenfield Rd Ste 126
Mesa, AZ 85205-4011

Mailing address

6688 N Central Expy Ste 1300
Dallas, TX 75206-3950
Phone (214) 239-6500

Other names 1

  • Enhabit Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221114000175 AZ Part A Provider - Hospice 5991132524 Practice locations: Glendale, AZ; Mesa, AZ

Hospice certification: CCN 031628

Legal name
EH HEALTH HOSPICE OF THE SOUTHWEST, LLC
Doing business as
ENHABIT HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 15, 2014
Last certification
Mar 11, 2022
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Enrollment address
1635 N Greenfield Rd
Ste 126
Mesa, AZ 85205-4011

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
Enhabit HospiceCCN 031628
Ownership
For-Profit
Certified
Jul 15, 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
03D2068900Eh Health Hospice of the Southwest LLC1635 N Greenfield Rd Ste 126, Mesa, AZ 85205Certificate of waiverNov 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Eh Health Hospice of the Southwest LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

5701 W Talavi Blvd
Ste 150
Glendale, AZ 85306
Phone (623) 335-6601

425 S Telshor Blvd
Ste B201
Las Cruces, NM 88011
Phone (575) 323-9845

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Tanya R Marion Individual Corporate OfficerChief Human Resources Officer Nov 1, 2022
Enhabit Holdings, Inc. Organization, Dallas, TX Corporation, Holding company 5% Or Greater Indirect Ownership Interest Nov 1, 2022 100%
8 Knots Management, LLC Organization, Dallas, TX LLC, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2024 8.81%
Deerfield Management Company LP Organization, New York, NY Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2023 9.97%
Blackrock Inc Organization, New York, NY Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2023 7.8%
Waqas Qamar Individual Contracted Managing EmployeeMedical Director Nov 1, 2022
Barbara a Jacobsmeyer Individual Corporate OfficerPresident & Chief Executive Offi Nov 1, 2022
Operational/Managerial ControlPresident & Ceo; Chain Home Offi Jan 1, 2023
Sarah W Braley Individual Corporate OfficerAssistant Secretary Feb 2, 2023
Julie D Jolley Individual Corporate OfficerEvp of Home Health Operations & Ao Nov 1, 2022
Vanguard Group Inc Organization, Malvern, PA Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2023 5.91%
Enhabit Inc Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2022 100%
Wells Fargo Bank, N.a. Organization, Charlotte, NC Financial institution 5% Or Greater Security Interest Nov 1, 2022 100%
Advanced Homecare Management LLC Organization, Dallas, TX Corporation, For-profit 5% Or Greater Direct Ownership Interest Nov 1, 2022 100%
Dylan C Black Individual Corporate OfficerGeneral Counsel ,Secretary, Ao Feb 22, 2023
Jeanne L Kalvaitis Individual Corporate OfficerEvp of Hospice Operations Nov 1, 2022
Kelley Barrera Individual W-2 Managing EmployeeAdministrator Nov 28, 2023
Ryan T Solomon Individual Corporate OfficerChief Financial Officer & Ao Dec 9, 2024
Sean P Richardson Individual Corporate OfficerChief Tax Officer Feb 22, 2023

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 196

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

View all 196

Change-of-ownership history 1

DateEventCounterparty
Nov 1, 2022 Change of OwnershipThis provider was the buyer Unity HospiceCCN 031628, AZ, NPI 1477896496

Change of ownership 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1366170367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6688 N CENTRAL EXPY STE 1300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063950",
            "telephone_number": "214-239-6500",
            "fax_number": "214-239-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N GREENFIELD RD STE 126",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054011",
            "telephone_number": "480-407-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EH HEALTH HOSPICE OF THE SOUTHWEST, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENHABIT, INC.",
        "enumeration_date": "2022-08-09",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "ARBUCKLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR, LICENSING & ENROLLMENT",
        "authorized_official_telephone_number": "214-239-6500"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enhabit Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Enhabit Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.