Active NPI
Prestige Devotion Hospice LLC
- Community Based Hospice Care Agency
- Tucson, AZ
National Provider Identifier
1518611516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Hospice
- Certified
- Jun 7, 2023
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2259206 | Prestige Devotion Hospice LLC | Certificate of waiver | May 2, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Moriah Schweyer | 5% Or Greater Direct Ownership Interest | Jan 9, 2022 | 100% |
| Corporate Director | Jan 9, 2022 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.