NPIMap

Organization Active NPI

Agape Hospice & Palliative Care, LLC

  • Community Based Hospice Care Agency
  • Tucson, AZ
National Provider Identifier
1679826549
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AGAPE HOSPICE & PALLIATIVE CARE, LLC
Practice address
2990 N Swan Road
Suite 227
Tucson, AZ 85712
Phone
(520) 664-8624
Fax
(520) 615-7802
NPI assigned
Oct 17, 2012
Last updated
Oct 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William Douglas Martz, MDNPI 1215950027
Title
Manager
Phone
(520) 260-0937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X AZ Primary

Addresses

Primary practice location

2990 N Swan Road
Suite 227
Tucson, AZ 85712

Mailing address

5211 N Salida del Sol Dr
Tucson, AZ 85718-5411
Phone (520) 615-4751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Aug 1, 2019 Change of OwnershipThis provider was the seller Agape Hospice & Palliative CareCCN 031614, AZ, NPI 1548821838

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1679826549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 N SALIDA DEL SOL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185411",
            "telephone_number": "520-615-4751",
            "fax_number": "520-577-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 N SWAN ROAD",
            "address_2": "SUITE 227",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-664-8624",
            "fax_number": "520-615-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE HOSPICE & PALLIATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "MARTZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-260-0937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.