Organization Active NPI

Placita Hospice LLC

  • Community Based Hospice Care Agency
  • Tucson, AZ
National Provider Identifier
1477322261
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Enrollment address
6303 E Tanque Verde Rd
Ste 311
Tucson, AZ 85715-3857

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Mosab a Frefer Individual W-2 Managing EmployeeMD; May 20, 2024 50%
Keith Condon Individual 5% Or Greater Direct Ownership InterestOwner Nov 30, 2023 100%
Corporate DirectorPresident Nov 30, 2023 50%
Angela Stinger Individual Corporate DirectorVice President Nov 30, 2023 50%
W-2 Managing EmployeeAd; 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.

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

Verify at the official NPI Registry.