Sapphire Health Solutions LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SAPPHIRE HEALTH SOLUTIONS LLC

Practice address

4701 S Lakeshore Dr Ste 2
Tempe, AZ 85282-7169

Phone

(480) 347-9866

Fax

(480) 386-6641

NPI assigned

Jul 13, 2021

Organization subpart

No

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

Authorized official

Name

Mohamed KhalilNPI 1851950521

Title

Ceo

Phone

(480) 347-9866

Specialties & licenses 1

Addresses

Other names 1

• Sapphire Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Hospice certification: CCN 031796

Legal name

SAPPHIRE HEALTH SOLUTIONS LLC

Doing business as

SAPPHIRE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 25, 2022

Last certification

Mar 25, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Jan 7, 2021 in AZ

Enrollment address

3377 S Price Rd
Ste 3060
Chandler, AZ 85248-3573

Listed as

Sapphire HospiceCCN 031796

Ownership

For-Profit

Certified

Mar 25, 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 4

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

  Contracted Managing Employee

  CMS ownership

Practitioners 2

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

• Mohamed Khalil, OWNER

  • Psychologist
  • Tempe, AZ
  • NPI 1851950521
  NPD Authorized official
• Shanna S. Carter, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1154865350
  NPD

Affiliated clinicians 1

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

• Justin Jay Stenquist, M.D.

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1285096503

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1467024034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 S LAKESHORE DR STE 2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827169",
            "telephone_number": "480-347-9866",
            "fax_number": "480-386-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 S LAKESHORE DR STE 2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827169",
            "telephone_number": "480-347-9866",
            "fax_number": "480-386-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPPHIRE HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-347-9866"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sapphire Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sapphire Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nalani Santos
• William Hunter Santos, LAC
• Molly Santosuosso, NMD
• Cassandra Lynne Santucci, PMHNP-BC
• Julie E. Sapienza, LCSW
• Brenda E Saragosa, CPHT
• Kathryn Sarber
• Genowefa H Sarko, PA-C
• Jason Sarnecki
• Maria Rose Sarno, LPC

• Community Based Hospice Care Agency in Tempe, AZ
• Providers in Tempe, 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 Aug 23, 2024; 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.