Hospice of Hope, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HOSPICE OF HOPE, LLC

Practice address

17505 N 79TH Ave Ste 314
Glendale, AZ 85308-8730

Phone

(623) 399-6910

Fax

(480) 907-1994

NPI assigned

Jan 19, 2018

Last updated

Jun 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Louise Thap

Title

Executive Administrator

Phone

(623) 399-6910

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497263891. Details of each certification follow.

• CCN 031655 Hospice · Active · Details

Hospice certification: CCN 031655

Legal name

HOSPICE OF HOPE, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 16, 2016

Last certification

Oct 17, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Enrollment address

17505 N 79TH Ave
Ste 313
Glendale, AZ 85308-8730

Listed as

Hospice of Hope, LLCCCN 031655 · All quality measures

Ownership

For-Profit

Certified

Jun 16, 2016

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.

• Catherine L Lacourt, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1942232988

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Catherine L Lacourt, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1942232988

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1497263891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 314",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088730",
            "telephone_number": "623-399-6910",
            "fax_number": "480-907-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 314",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088730",
            "telephone_number": "623-399-6910",
            "fax_number": "480-907-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF HOPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "THAP",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "623-399-6910"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "469624",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Glendale, AZ
• Providers in Glendale, 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 2, 2022; 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.