Organization Active NPI

Arizona Hospice Safford, LLC

Doing business as Choice Hospice

  • Community Based Hospice Care Agency
  • Safford, AZ
National Provider Identifier
1386229144
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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)CodeLicenseStatePrimary
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 Doing business as
  • Haven Hospice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 HospiceCCN 031674 · All quality measures
Ownership
For-Profit
Certified
Oct 25, 2017
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
03D2132082Arizona Hospice Safford, LLC Dba Choice Hospice1280 S 20TH Ave Suite B, Safford, AZ 85546Certificate of waiverJun 11, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Kristi L Jackson Individual W-2 Managing EmployeeAdministrator Jul 1, 2020 50%
Matthew R Saagman Individual 5% Or Greater Indirect Ownership InterestManager Apr 1, 2021 100%
Corporate DirectorBoard Member Apr 1, 2021 100%
W-2 Managing EmployeeBoard Member Jan 1, 2020 100%
The Charis Rescue Foundation LLC Organization, Plymouth, MI LLC 5% Or Greater Direct Ownership Interest Apr 1, 2021 100%
Kevin R Ruark Individual Corporate DirectorBoard Member Apr 1, 2021 100%
W-2 Managing EmployeeBoard Member Jan 1, 2020 100%

Change-of-ownership history 1

DateEventCounterparty
Jun 15, 2021 Change of OwnershipThis provider was the buyer Haven HospiceCCN 031674, AZ, NPI 1154853257

Change of ownership 1

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

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

Verify at the official NPI Registry.