NPIMap

Organization Active NPI

Hospice at Home of Arizona LLC

  • Community Based Hospice Care Agency
  • Mesa, AZ
National Provider Identifier
1376986463
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE AT HOME OF ARIZONA LLC
Practice address
2500 S Power Rd Ste 125a
Mesa, AZ 85209-6688
Phone
(480) 478-0643
Fax
(480) 284-6020
NPI assigned
Apr 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Jesse R Moore
Title
Chief Administrative Officer
Phone
(857) 331-6271

Specialties & licenses 1

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

Addresses

Primary practice location

2500 S Power Rd Ste 125a
Mesa, AZ 85209-6688

Mailing address

500 Faulconer Dr Ste 200
Charlottesville, VA 22903-5089
Phone (434) 977-9711

Other identifiers 1

IdentifierTypeStateIssuer
209433MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130815000382 AZ Part A Provider - Hospice 8820230154 Practice locations: Mesa, AZ

Hospice certification: CCN 031623

Legal name
HOSPICE AT HOME OF ARIZONA, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 7, 2014
Last certification
Jun 9, 2021
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Mar 6, 2013 in AZ
Enrollment address
2500 S Power Rd
BLDG 11 Ste 125a
Mesa, AZ 85209-6688

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice at Home of Arizona, LLCCCN 031623
Ownership
For-Profit
Certified
Jan 7, 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
03D2104859Hospice at Home of Arizona2500 S Power Rd Ste 125, Mesa, AZ 85209Certificate of waiverNov 12, 2027

National Provider Directory

National Provider Directory

Locations

2500 S Power Rd
Ste 125A
Mesa, AZ 85209
Phone (480) 478-0643

1423 S Higley Rd
Ste 121
Mesa, AZ 85206
Phone (480) 478-0643

2500 S Power Rd
Ste 125
Mesa, AZ 85209
Phone (480) 478-0643

7254 E Southern Ave
Ste 111
Mesa, AZ 85209
Phone (480) 666-9288

11111 N Scottsdale Rd
Ste 205G
Scottsdale, AZ 85254
Phone (480) 666-9288

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
THL Equity Fund VIII Investors (Hospice Care), L.P. Organization, Boston, MA For-profit, Private equity company 5% Or Greater Indirect Ownership Interest Dec 3, 2021 29.16%
Jesse Reo Moore Individual Corporate OfficerChief Administrative Officer May 26, 2021
W-2 Managing EmployeeChief Administrative Officer May 26, 2021
Care Hospice, Inc. Organization, Charlottesville, VA Corporation, Holding company, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 3, 2021 100%
Thomas H. Lee Equity Fund VIII, L.P. Organization, Boston, MA For-profit, Private equity company 5% Or Greater Indirect Ownership Interest Dec 3, 2021 15.07%
Thomas H. Lee Parallel Fund VIII, L.P. Organization, Boston, MA For-profit, Private equity company 5% Or Greater Indirect Ownership Interest Dec 3, 2021 27.44%
Care Hospice Acquisition, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 3, 2021 100%
Stacy Randall Individual W-2 Managing EmployeeAd; Dec 16, 2024
Hospice Care Buyer, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 3, 2021 100%
Hospice Care Holdings, L.P. Organization, Boston, MA Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 3, 2021 100%
Bart K Valdez Individual Corporate OfficerCeo Jan 6, 2025
W-2 Managing EmployeeCeo Jan 6, 2025
Hospice Care Intermediate I, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 3, 2021 100%
Grant Brown Individual Corporate OfficerCfo Dec 10, 2021
W-2 Managing EmployeeExecutive Vice President Dec 3, 2021
Amit Gupta Individual Contracted Managing EmployeeMD; Jul 1, 2023
John B Hunter Individual 5% Or Greater Indirect Ownership Interest Dec 3, 2021 9.42%
Hospice Care Intermediate II, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 3, 2021 100%
Dana K Reid Individual Corporate OfficerSVP Compliance, Regulatory, Privacy Jan 4, 2025
W-2 Managing EmployeeSVP Compliance, Regulatory, Privacy Jan 4, 2025

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 38

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

  • Hospice of the West LLC
    • Community Based Hospice Care Agency
    • Phoenix, AZ
    • NPI 1578874053

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
  • All Caring Hospice Cincinnati Dayton LLC
    • Community Based Hospice Care Agency
    • Mason, OH
    • NPI 1942720388

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
  • All Caring Hospice, LLC
    • Community Based Hospice Care Agency
    • Canfield, OH
    • NPI 1952692543

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
  • Alleo Health of Florida LLC
    • Community Based Hospice Care Agency
    • Jacksonville, FL
    • NPI 1376240788

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
  • Alliance Hospice LLC
    • Community Based Hospice Care Agency
    • Augusta, GA
    • NPI 1043303753

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
  • Alpha Omega Hospice LP
    • Community Based Hospice Care Agency
    • Weatherford, TX
    • NPI 1972611143

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
  • Brookhaven Hospice LLC
    • Community Based Hospice Care Agency
    • Marlborough, MA
    • NPI 1730361742

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
  • Brookhaven Hospice of New Hampshire, LLC
    • Community Based Hospice Care Agency
    • Bedford, NH
    • NPI 1689981193

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
  • Commonwealth Healthcare, LLC
    • Community Based Hospice Care Agency
    • Charlottesville, VA
    • NPI 1740430263

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
  • Continuum Care Hospice LLC
    • Community Based Hospice Care Agency
    • Concord, CA
    • NPI 1467859900

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
  • Continuum Care of Mass, LLC
    • Community Based Hospice Care Agency
    • Fall River, MA
    • NPI 1134688575

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
  • Continuum Care of Rhode Island, LLC
    • Community Based Hospice Care Agency
    • West Warwick, RI
    • NPI 1164948220

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
View all 38

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 7

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": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1376986463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FAULCONER DR STE 200",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035089",
            "telephone_number": "434-977-9711",
            "fax_number": "434-235-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S POWER RD STE 125A",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852096688",
            "telephone_number": "480-478-0643",
            "fax_number": "480-284-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE AT HOME OF ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "857-331-6271"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209433",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.