State 48 Hospice of Sierra Vista LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

STATE 48 HOSPICE OF SIERRA VISTA LLC

Practice address

400 W Fry Blvd Ste 12
Sierra Vista, AZ 85635-1760

Phone

(520) 685-3071

NPI assigned

Feb 7, 2025

Last updated

Feb 7, 2025By 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

Mohammed Ahmed

Title

Manager

Phone

(702) 445-1354

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1639984685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W FRY BLVD STE 12",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351760",
            "telephone_number": "520-685-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W FRY BLVD STE 12",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351760",
            "telephone_number": "520-685-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE 48 HOSPICE OF SIERRA VISTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-445-1354"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Anza Stanley, RN
• Oliver Paul Starkey, MS CCC-SLP
• Stars Medical Transportation LLC
• Keith Starwalt, DNP
• State 48 Home Health of Sierra Vista LLC
• James Steemers, RPH
• Joanne Marie Steemers, RPH
• Cassandra Rose Steiner, DPNP
• Alisha Anne Stirling, LCSW
• Daniel Lynn Stoll, PA-C

• Community Based Hospice Care Agency in Sierra Vista, AZ
• Providers in Sierra Vista, 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 Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.