Patriot Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PATRIOT HOSPICE LLC

Practice address

628 N 24TH St Ste F
Phoenix, AZ 85008-6016

Phone

(623) 476-9198

NPI assigned

Sep 3, 2020

Organization subpart

No

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

Authorized official

Name

Hovhannes Tony Karagezyan

Title

President

Phone

(623) 476-9198

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1386258648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 N 24TH ST STE F",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086016",
            "telephone_number": "623-476-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 N 24TH ST STE F",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086016",
            "telephone_number": "623-476-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "KARAGEZYAN",
        "authorized_official_first_name": "HOVHANNES",
        "authorized_official_middle_name": "TONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-476-9198"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Hospice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Patrick, PHARMD
• Debra Patrick
• Kyle Patrick, LAT, ATC
• Lisa Joan Patrick, RRT
• Nicole Ann Patrick
• Jessica Lynn Patriquin, PMHNP
• Mohamed A Pattappurath, PMHNP-BC
• Tina Pattara-Lau, M.D.
• Jamie C Pattee
• Jimmy Ray Patten, DMD

• Community Based Hospice Care Agency in Phoenix, AZ
• Providers in Phoenix, 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 Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.