Active NPI
Arizona Hospice Safford, LLC
Doing business as Choice Hospice
- Community Based Hospice Care Agency
- Safford, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ARIZONA HOSPICE SAFFORD, LLC
- Doing business as
- Choice Hospice
Haven Hospice - Practice address
- 1280 S 20TH Ave Ste B
Safford, AZ 85546-3378 - Phone
- (520) 827-4488
- NPI assigned
- Mar 13, 2021
- Last updated
- Jun 19, 2026
- 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
- Katrina Lanier
- Title
- Secretary
- Phone
- (855) 485-8273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
1280 S 20TH Ave Ste B
Safford, AZ 85546-3378
Mailing address
6760 Old Jacksonville Hwy Ste 101
Tyler, TX 75703-0566
Phone (855) 485-8273
Other names 2
- Choice Hospice
- Haven Hospice
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220404002629 | AZ | Part A Provider - Hospice | 9032505854 | Practice locations: Lakeside, AZ; Safford, AZ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1386229144. Details of each certification follow.
Hospice certification: CCN 031674
- Legal name
- ARIZONA HOSPICE SAFFORD LLC
- Doing business as
- HAVEN HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 25, 2017
- Last certification
- Jan 7, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Dec 28, 2018 in AZ
- Enrollment address
- 1280 S 20TH Ave
Ste B
Safford, AZ 85546-3378
Care Compare: Hospice
Medicare Care Compare- Listed as
- Choice Hospice
- Ownership
- For-Profit
- Certified
- Oct 25, 2017
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 03D2132082 | Arizona Hospice Safford, LLC Dba Choice Hospice | Certificate of waiver | Jun 11, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Kristi L Jackson | W-2 Managing Employee | Jul 1, 2020 | 50% |
| Matthew R Saagman | 5% Or Greater Indirect Ownership Interest | Apr 1, 2021 | 100% |
| Corporate Director | Apr 1, 2021 | 100% | |
| W-2 Managing Employee | Jan 1, 2020 | 100% | |
| The Charis Rescue Foundation LLC | 5% Or Greater Direct Ownership Interest | Apr 1, 2021 | 100% |
| Kevin R Ruark | Corporate Director | Apr 1, 2021 | 100% |
| W-2 Managing Employee | Jan 1, 2020 | 100% |
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jun 15, 2021 | Change of Ownership | Haven Hospice |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Community Based Hospice Care Agency
- Surprise, AZ
- NPI 1154853257
Acquired from, 2021-06-15
Practitioners & affiliated clinicians
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": "1615593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781827200000",
"number": "1386229144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6760 OLD JACKSONVILLE HWY STE 101",
"city": "TYLER",
"state": "TX",
"postal_code": "757030566",
"telephone_number": "855-485-8273",
"fax_number": "903-200-5573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 S 20TH AVE STE B",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "855463378",
"telephone_number": "520-827-4488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIZONA HOSPICE SAFFORD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-13",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A",
"authorized_official_last_name": "LANIER",
"authorized_official_first_name": "KATRINA",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "855-485-8273"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1280 S 20th Ave Ste B",
"city": "Safford",
"state": "AZ",
"country_code": "US",
"postal_code": "855463378",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Choice Hospice",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Haven Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Safford, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.