Active NPI
Placita Hospice LLC
- Community Based Hospice Care Agency
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- PLACITA HOSPICE LLC
- Practice address
- 6303 E Tanque Verde Rd # 301-B
Tucson, AZ 85715-3857 - Phone
- (520) 904-4274
- Fax
- (520) 844-6326
- NPI assigned
- Dec 21, 2023
- Last updated
- Dec 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keith Condon
- Title
- Owner/President
- Phone
- (520) 904-4274
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
6303 E Tanque Verde Rd # 301-B
Tucson, AZ 85715-3857
Mailing address
333 N Wilmot Rd Ste 340
Tucson, AZ 85711-2607
Phone (520) 904-4274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250520001396 | AZ | Part A Provider - Hospice | 4880112127 | Practice locations: Tucson, AZ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1477322261. Details of each certification follow.
Hospice certification: CCN 001587
- Legal name
- PLACITA HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jul 18, 2025
- Last certification
- Jul 10, 2025
- Organization structure
- LLC
- Enrollment address
- 6303 E Tanque Verde Rd
Ste 311
Tucson, AZ 85715-3857
National Provider Directory
National Provider DirectoryLocations
6303 E Tanque Verde Rd
#301B
Tucson, AZ 85715
Phone (520) 904-4274
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Mosab a Frefer | W-2 Managing Employee | May 20, 2024 | 50% |
| Keith Condon | 5% Or Greater Direct Ownership Interest | Nov 30, 2023 | 100% |
| Corporate Director | Nov 30, 2023 | 50% | |
| Angela Stinger | Corporate Director | Nov 30, 2023 | 50% |
| W-2 Managing Employee | Nov 30, 2023 | 50% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1659800977
W-2 Managing Employee
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703116800000",
"number": "1477322261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N WILMOT RD STE 340",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112607",
"telephone_number": "520-904-4274",
"fax_number": "520-844-6326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6303 E TANQUE VERDE RD # 301-B",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857153857",
"telephone_number": "520-904-4274",
"fax_number": "520-844-6326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLACITA HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-21",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A",
"authorized_official_last_name": "CONDON",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "520-904-4274"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.