Organization Active NPI

Hidden Hills Hospice LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
National Provider Identifier
1417548298
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HIDDEN HILLS HOSPICE LLC
Practice address
1825 E Northern Ave Ste 161a
Phoenix, AZ 85020-3980
Phone
(702) 355-2695
NPI assigned
Feb 3, 2021
Last updated
Feb 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Mr. James Demasi
Title
Direct
Phone
(702) 355-2695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

1825 E Northern Ave Ste 161a
Phoenix, AZ 85020-3980

Mailing address

5223 N 24TH St Apt 204
Phoenix, AZ 85016-3526
Phone (702) 355-2695

Care Compare: Hospice

Medicare Care Compare
Listed as
Hidden Hills HospiceCCN 001542
Certified
Jul 5, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

1825 E Northern Ave
Ste 161A
Phoenix, AZ 85020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1417548298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5223 N 24TH ST APT 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163526",
            "telephone_number": "702-355-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 E NORTHERN AVE STE 161A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203980",
            "telephone_number": "702-355-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN HILLS HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "DEMASI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECT",
        "authorized_official_telephone_number": "702-355-2695",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.