Casa de la Luz LLC

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

License

HSPC3560 Issued in AZ

Legal business name

CASA DE LA LUZ LLC

Doing business as

Casa de la Luz Hospice

Practice address

7740 N Oracle Rd
Tucson, AZ 85704-6390

Phone

(520) 544-9890

Fax

(520) 544-9894

NPI assigned

Feb 20, 2006

Last updated

Mar 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Agnes C Poore, RN, BSN, MBA

Title

Member, LLC

Phone

(520) 544-9890

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Casa de la Luz Hospice Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

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

• LHCG Cxcvi LLC

  dba Casa de la Luz Hospice

  • Community Based Hospice Care Agency
  • Tucson, AZ
  • NPI 1932773827

  Sold to, 2021-07-01

  CMS change of ownership

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1386619799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046390",
            "telephone_number": "520-544-9890",
            "fax_number": "520-544-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046390",
            "telephone_number": "520-544-9890",
            "fax_number": "520-544-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA DE LA LUZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-20",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "POORE",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER, LLC",
        "authorized_official_telephone_number": "520-544-9890",
        "authorized_official_credential": "RN, BSN, MBA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": "HSPC2206",
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "AZ",
            "license": "HSPC3560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "483149",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa de la Luz Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea Conn Caruso, D.O.
• Jaylee Caruso, MD
• Noreen Carver
• Natalie Elizabeth Caryl, MD
• Joshua B Carzoli, PHARMD
• Casa de Los Ninos
• Casa de Los Ninos
• Casa de Los Ninos
• Casa de Los Ninos
• Casa de Los Ninos

• Inpatient Hospice in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Inpatient Hospice in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.