Supportive Hands Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SUPPORTIVE HANDS HOSPICE INC

Practice address

2930 E Camelback Rd Ste 120
Phoenix, AZ 85016-4412

Phone

(602) 806-7205

Fax

(602) 806-7216

NPI assigned

Sep 6, 2021

Organization subpart

No

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

Authorized official

Name

Richard Schweichler

Title

Operations Manager

Phone

(602) 806-7205

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Hospice certification: CCN 001527

Legal name

SUPPORTIVE HANDS HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 1, 2022

Last certification

Jul 1, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

2930 E Camelback Rd
Ste 120
Phoenix, AZ 85016-4412

Listed as

Supportive Hands Hospice IncCCN 001527

Certified

Jul 1, 2022

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 1

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

• Marco Valerio Canulla, MD

  • Surgery Physician
  • Litchfield Park, AZ
  • NPI 1194700286

  Operational/Managerial Control

  CMS ownership

Affiliated clinicians 1

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

• Marco Valerio Canulla, MD

  • Surgery Physician
  • Litchfield Park, AZ
  • NPI 1194700286

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1700554516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 E CAMELBACK RD STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164412",
            "telephone_number": "602-806-7205",
            "fax_number": "602-806-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 E CAMELBACK RD STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164412",
            "telephone_number": "602-806-7205",
            "fax_number": "602-806-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE HANDS HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "SCHWEICHLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "602-806-7205"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supplemental Healthcare
• Supplemental Healthcare
• Aysha Ursule Supplice, MD
• Supporting Your Birth, LLC
• Supportive Community Services LLC
• Supportive Steps Behavioral Health LLC
• Supreme Acupuncture, LLC
• Supreme Care Hospice Inc
• Supreme Counsel PLLC
• Laura Sura

• 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 May 6, 2024; 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.