Organization Active NPI

Prestige Devotion Hospice LLC

  • Community Based Hospice Care Agency
  • Tucson, AZ
National Provider Identifier
1518611516
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PRESTIGE DEVOTION HOSPICE LLC
Practice address
4701 N 1St Ave
Tucson, AZ 85718-5610
Phone
(520) 358-0946
NPI assigned
Feb 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Moriah Schweyer
Title
Owner
Phone
(520) 358-0946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

4701 N 1St Ave
Tucson, AZ 85718-5610

Mailing address

PO Box 17513
Tucson, AZ 85731-7513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230424000619 AZ Part A Provider - Hospice 5496110637 Practice locations: Tucson, AZ

Hospice certification: CCN 001570

Legal name
PRESTIGE DEVOTION HOSPICE LLC
Doing business as
PRESTIGE HEALTH HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 7, 2023
Last certification
May 24, 2023
Organization structure
LLCProprietary
Incorporated
Jan 9, 2022 in AZ
Enrollment address
4555 S Palo Verde Rd
Ste 163
Tucson, AZ 85714-1959

Care Compare: Hospice

Medicare Care Compare
Listed as
Prestige Health HospiceCCN 001570
Certified
Jun 7, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2259206Prestige Devotion Hospice LLC4555 S Palo Verde Rd Unit 163, Tucson, AZ 85714Certificate of waiverMay 2, 2028

National Provider Directory

National Provider Directory

Locations

4701 N 1st Ave
Tucson, AZ 85718
Phone (520) 293-1666

4555 S Palo Verde Rd
Ste 163
Tucson, AZ 85714
Phone (520) 358-0946

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Moriah Schweyer Individual 5% Or Greater Direct Ownership InterestPresident/Admin/Don Jan 9, 2022 100%
Corporate DirectorPresident/Admin/Don Jan 9, 2022 100%
W-2 Managing EmployeePresident/Admin/Don Jan 9, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1518611516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17513",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857317513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N 1ST AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185610",
            "telephone_number": "520-358-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE DEVOTION HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "SCHWEYER",
        "authorized_official_first_name": "MORIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-358-0946"
    },
    "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.