Stillwater Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

STILLWATER HOSPICE LLC

Practice address

22601 N 19TH Ave Ste 230
Phoenix, AZ 85027-1362

Phone

(602) 567-9953

Fax

(602) 567-9933

NPI assigned

May 8, 2019

Last updated

Jun 26, 2026By 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

Mr. Ammon Jacob Wolfley

Title

Owner

Phone

(602) 573-9890

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548825276. Details of each certification follow.

• CCN 031699 Hospice · Active · Details

Hospice certification: CCN 031699

Legal name

STILLWATER HOSPICE LLC

Doing business as

STILLWATER HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 26, 2019

Last certification

Nov 26, 2019

Ownership / control type

Proprietary - Partnership

Organization structure

LLCProprietary

Incorporated

Aug 30, 2018 in AZ

Enrollment address

22601 N 19TH Ave
Ste 230
Phoenix, AZ 85027-1362

Listed as

Stillwater HospiceCCN 031699 · All quality measures

Ownership

For-Profit

Certified

Nov 26, 2019

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 8

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 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Chintan H Mehta, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1528082849

  Contracted Managing Employee

  CMS ownership
• Waqas Ahmad Qamar, MD

  • Hospitalist Physician
  • Mesa, AZ
  • NPI 1447517503

  Contracted Managing Employee

  CMS ownership
• Neeraj Vij, M.D.

  • Hospitalist Physician
  • Cottonwood, AZ
  • NPI 1528054921

  Contracted Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Evelynn Petra Robles, FNP-C

  • Nurse Practitioner
  • Phoenix, AZ
  • NPI 1467296319
  NPD

Affiliated clinicians 1

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

• Neeraj Vij, M.D.

  • Hospitalist Physician
  • Cottonwood, AZ
  • NPI 1528054921

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1548825276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22601 N 19TH AVE STE 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271362",
            "telephone_number": "602-567-9953",
            "fax_number": "602-567-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22601 N 19TH AVE STE 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271362",
            "telephone_number": "602-567-9953",
            "fax_number": "602-567-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "WOLFLEY",
        "authorized_official_first_name": "AMMON",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-573-9890",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lynley Stillman
• Stillness Point Healing LLC
• Benjamin Daniel Stills, NMD
• Sara C. Stimson, MD
• Avisheh Stimsonriahi, M.D.
• Hanna Marie Stineman, M.A., CCC-SLP
• Samuel John Stinocher, DO
• Emma Ann Stinson

• Community Based Hospice Care Agency in Phoenix, AZ
• Providers in Phoenix, 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 26, 2026; 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.