Sacred Heart Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

HSPC4126 Issued in AZ

Legal business name

SACRED HEART HOSPICE LLC

Practice address

426 N 44TH St Ste 405
Phoenix, AZ 85008-6612

Phone

(602) 476-2047

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. April Bolles

Title

Ceo

Phone

(602) 476-2047

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Hospice certification: CCN 031588

Legal name

SACRED HEART HOSPICE LLC

Doing business as

FAITH HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 24, 2010

Last certification

Jul 19, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Jun 8, 2006 in AZ

Enrollment address

426 N 44TH St
Ste 405
Phoenix, AZ 85008-6508

Listed as

Faith HospiceCCN 031588

Ownership

For-Profit

Certified

Mar 24, 2010

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Jeanette Cooper Sullivan, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1023828159
  NPD

Affiliated clinicians 1

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

• Makonnen G. Habtemariam, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1851357909

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1437277100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 N 44TH ST STE 405",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086612",
            "telephone_number": "602-476-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 N 44TH ST STE 405",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086612",
            "telephone_number": "602-476-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "BOLLES",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-476-2047",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": "HSPC4126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZDHS LICENSE",
            "identifier": "HCPC",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly E Sacra, LPC
• Sacred Heart Foundation, Inc
• Sacred Heart Home Healthcare LLC
• Sacred Heart Homes, Inc
• Sacred Heart Homes, Inc.
• Sacred Heart Nursing
• Sacred Heart Nursing Services, Inc.
• Parwin Shetab Sadaat, MD
• Sadad Technologies, LLC
• Sadame Management LLC

• 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 Jun 29, 2026; 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.