Active NPI
Billet Hospice Inc - Bullhead City
- Community Based Hospice Care Agency
- Bullhead City, AZ
National Provider Identifier
1669990941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- BILLET HOSPICE INC - BULLHEAD CITY
- Practice address
- 1954 Highway 95 Ste B
Bullhead City, AZ 86442-6751 - Phone
- (833) 224-5538
- NPI assigned
- Sep 6, 2017
- 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
- Vahan Oganesyan
- Title
- Coo
- Phone
- (833) 224-5538
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1954 Highway 95 Ste B
Bullhead City, AZ 86442-6751
Mailing address
6710 N 47TH Ave Ste 8
Glendale, AZ 85301-4111
Phone (833) 224-5538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171218002657 | AZ | Part A Provider - Hospice | 0446518591 | Practice locations: Bullhead, AZ |
Hospice certification: CCN 031650
- Legal name
- BILLET HOSPICE INC - BULLHEAD CITY
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 6, 2016
- Last certification
- Jun 8, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Jul 19, 2017 in AZ
- Enrollment address
- 1954 Az-95
Ste 2B
Bullhead, AZ 86442-6751
Care Compare: Hospice
Medicare Care Compare- Listed as
- Billet Hospice Inc- Bullhead City
- Ownership
- For-Profit
- Certified
- Sep 6, 2016
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
1954 Highway 95
Ste B
Bullhead City, AZ 86442
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Armen Ghadimian | 5% Or Greater Direct Ownership Interest | Jul 19, 2017 | 50% |
| Corporate Officer | Jul 19, 2017 | 50% | |
| Corporate Director | Jul 19, 2017 | 50% | |
| W-2 Managing Employee | Jul 19, 2017 | 50% | |
| Horst S Filtzer | W-2 Managing Employee | Apr 17, 2021 | |
| Vahan Oganesyan | 5% Or Greater Direct Ownership Interest | Jul 19, 2017 | 50% |
| Corporate Officer | Jul 19, 2017 | 50% | |
| Corporate Director | Jul 19, 2017 | 50% | |
| W-2 Managing Employee | Jul 19, 2017 | 50% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Bullhead City, AZ
- NPI 1417018862
W-2 Managing Employee
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jan 1, 2018 | Change of Ownership | V a Hospice 2 |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Community Based Hospice Care Agency
- Fort Mohave, AZ
- NPI 1871997072
Acquired from, 2018-01-01
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1504656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580774400000",
"number": "1669990941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6710 N 47TH AVE STE 8",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853014111",
"telephone_number": "833-224-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1954 HIGHWAY 95 STE B",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864426751",
"telephone_number": "833-224-5538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BILLET HOSPICE INC - BULLHEAD CITY",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-06",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A",
"authorized_official_last_name": "OGANESYAN",
"authorized_official_first_name": "VAHAN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "833-224-5538"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.