Nueva Hospice & Palliative Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

NUEVA HOSPICE & PALLIATIVE CARE LLC

Practice address

14362 N Frank Lloyd Wright Blvd Ste 2162
Scottsdale, AZ 85260-8846

Phone

(407) 405-1326

NPI assigned

Dec 6, 2022

Last updated

Mar 22, 2023By 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

Jonathan Dantes

Title

Chairman

Phone

(407) 405-1326

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407567829. Details of each certification follow.

• CCN 001561 Hospice · Active · Details

Hospice certification: CCN 001561

Legal name

NUEVA HOSPICE & PALLIATIVE CARE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 8, 2023

Last certification

Jun 8, 2023

Organization structure

LLCProprietary

Incorporated

Dec 1, 2022 in AZ

Enrollment address

14362 N Frank Lloyd Wright Blvd
# 2162
Scottsdale, AZ 85260-8846

Listed as

Nueva Hospice & Palliative Care, LLCCCN 001561 · All quality measures

Certified

Jun 8, 2023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Cezanne Bermeo, M.D.

  • Internal Medicine Physician
  • Chandler, AZ
  • NPI 1558543744

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1407567829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14362 N FRANK LLOYD WRIGHT BLVD STE 2162",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852608846",
            "telephone_number": "407-405-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14362 N FRANK LLOYD WRIGHT BLVD STE 2162",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852608846",
            "telephone_number": "407-405-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUEVA HOSPICE & PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "DANTES",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "407-405-1326"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Guadalupe Arianna Nunez, HIS
• Martin Michael Nunez, MD
• Michael David Nunez, M.D.
• L Stephen Nunn, PA

• Community Based Hospice Care Agency in Scottsdale, AZ
• Providers in Scottsdale, 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 Mar 22, 2023; 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.