Villa Alba Corporation

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

HSPC3710 Issued in AZ

Legal business name

VILLA ALBA CORPORATION

Doing business as

DBA: Americare Hospice & Palliative Care

Practice address

1212 N. Spencer St.
Suite 2
Mesa, AZ 85203

Phone

(480) 726-6553

Fax

(480) 726-3329

NPI assigned

Dec 8, 2005

Last updated

Mar 18, 2009By 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

Christine Villaraza Tejada, RN, BSN

Title

Administrator

Phone

(480) 726-7773

Specialties & licenses 1

Addresses

Other names 1

• DBA: Americare Hospice & Palliative Care Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679558050. Details of each certification follow.

• CCN 031563 Hospice · Active · Details

Hospice certification: CCN 031563

Legal name

VILLA ALBA CORPORATION

Doing business as

AMERICARE HOSPICE & PALLIATIVE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 20, 2005

Last certification

Dec 23, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Nov 30, 2004 in AZ

Enrollment address

1212 N Spencer
Ste 2
Mesa, AZ 85203-4347

Listed as

Americare Hospice and Palliative CareCCN 031563 · All quality measures

Ownership

For-Profit

Certified

Sep 20, 2005

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

Interoperability endpoints

• Direct secure messaging: christine.minch-mmahapc@contexture.medalliesmail.com
• Direct secure messaging: evangeline.sabado-mmahapc@contexture.medalliesmail.com

All disclosed owners & managing parties 4

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 2

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

• Christine Minch

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1669881819

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership
• Cheryl Rae Pendergrass, M.D.

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1780670133

  Corporate Director, W-2 Managing Employee

  CMS ownership

Practitioners 2

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.

• Christine Minch

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1669881819
  NPD
• Evangeline Sabado, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1881131712
  NPD

Affiliated clinicians 2

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

• Thomas Alan Green, FNP-BC

  • Family Nurse Practitioner
  • Sun City, AZ
  • NPI 1477511665

  Hospice

  Care Compare affiliation
• Cheryl Rae Pendergrass, M.D.

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1780670133

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1679558050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 790",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852110790",
            "telephone_number": "480-726-7773",
            "fax_number": "480-726-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N. SPENCER ST.",
            "address_2": "SUITE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85203",
            "telephone_number": "480-726-6553",
            "fax_number": "480-726-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA ALBA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "TEJADA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "VILLARAZA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-726-7773",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": "HSPC3710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA: Americare Hospice & Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margarita Escoto Vigil, MS, LAC, CCTS-F
• Natalie A Vigil, COTA/L
• William Arnaldo Vigo-Morales, LCSW
• Vijay S Gill M D P C
• Jennifer Lynn Vilders, FNP
• Villa Minch, LLC
• Villa Tejada LLC (Holy Cross Hospice)
• Jordan D Villa, PA-C
• Village Mentors
• Benita Villalino, LCSW

• Community Based Hospice Care Agency in Mesa, AZ
• Providers in Mesa, 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 Mar 18, 2009; 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.