Vital HC, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VITAL HC, INC.

Doing business as

Heart of Healing Hospice

Practice address

1729 N Trekell Rd Ste 122
Casa Grande, AZ 85122-2215

Phone

(520) 278-5003

Fax

(520) 268-9754

NPI assigned

Aug 26, 2021

Organization subpart

No

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

Authorized official

Name

Ruben Sukiasyan

Title

Director

Phone

(520) 278-5003

Specialties & licenses 1

Addresses

Other names 1

• Heart of Healing Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Hospice certification: CCN 001504

Legal name

VITAL HC INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 3, 2022

Last certification

Jun 3, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 24, 2021 in AZ

Enrollment address

4447 E Broadway Rd
Ste 101
Mesa, AZ 85206-2018

Listed as

Vital HC, IncCCN 001504 · All quality measures

Ownership

For-Profit

Certified

Jun 3, 2022

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 6

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.

• Brooke W. Eisenhart, FNP

  • Family Nurse Practitioner
  • Tempe, AZ
  • NPI 1891026639

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Affiliated clinicians 2

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

• Robert C Allen, M.D.

  • Family Medicine Physician
  • Gold Canyon, AZ
  • NPI 1639195977

  Hospice

  Care Compare affiliation
• Sandra L Levitt, MD

  • Internal Medicine Physician
  • Gilbert, AZ
  • NPI 1225224660

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1447927454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 N TREKELL RD STE 122",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222215",
            "telephone_number": "520-278-5003",
            "fax_number": "520-268-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 N TREKELL RD STE 122",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222215",
            "telephone_number": "520-278-5003",
            "fax_number": "520-268-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL HC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "SUKIASYAN",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-278-5003"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart of Healing Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adrienne Waibel, PHARMD
• Gregory Waite, D.D.S.

• Community Based Hospice Care Agency in Casa Grande, AZ
• Providers in Casa Grande, 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 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.