Kind Hearts Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

KIND HEARTS HOSPICE, INC.

Practice address

10210 N 32ND St Ste 215
Phoenix, AZ 85028-3848

Phone

(602) 953-4875

Fax

(480) 573-8595

NPI assigned

Sep 14, 2020

Organization subpart

No

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

Authorized official

Name

Khachatur Zadikyan

Title

Ceo/Administrator

Phone

(818) 689-7164

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Hospice certification: CCN 001567

Legal name

KIND HEARTS HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 15, 2023

Last certification

Jul 14, 2023

Organization structure

CorporationProprietary

Enrollment address

2 N Central Ave
Suite 1800 Unit 1918
Phoenix, AZ 85004-2139

Listed as

Kind Hearts Hospice IncCCN 001567 · All quality measures

Certified

Aug 15, 2023

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Justin Jay Stenquist, M.D.

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1285096503

  W-2 Managing Employee

  CMS ownership

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1407461643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 N 32ND ST STE 215",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283848",
            "telephone_number": "602-953-4875",
            "fax_number": "480-573-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 N 32ND ST STE 215",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283848",
            "telephone_number": "602-953-4875",
            "fax_number": "480-573-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND HEARTS HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "ZADIKYAN",
        "authorized_official_first_name": "KHACHATUR",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "818-689-7164"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Kinback
• Allyssa Nicole Kincade, FNP-C
• Michael L Kincaid, DDS
• Elita Kincaide
• Jacqueline Kincer, IBCLC, COMC, ISE
• Kindness Health, LLC (Kindness Therapy)
• Kindnest Home Care LLC
• Kindnest Staffing, LLC (KindNest Staffing)
• Kindred Hearts Assisted Living LLC
• Kindred Nursing Centers West, LLC (Kindred Transitional Care - Phoenix)

• 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 Sep 14, 2020; 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.

Verify at the official NPI Registry.