Wings of Hope Hospice and Palliative Care Inc.,

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

HSPC6340 Issued in AZ

Legal business name

WINGS OF HOPE HOSPICE AND PALLIATIVE CARE INC.,

Practice address

11022 N 28TH Dr Ste 205
Phoenix, AZ 85029

Phone

(602) 971-0304

Fax

(602) 971-0305

NPI assigned

Sep 9, 2013

Organization subpart

No

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

Authorized official

Name

Miss Angela Katz

Title

Cao/Ceo

Phone

(602) 971-0304

Specialties & licenses 1

Addresses

Other names 1

• Wings of Hope Hospice and Palliative Care Former legal business name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Hospice certification: CCN 031631

Legal name

WINGS OF HOPE HOSPICE AND PALLIATIVE CARE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 24, 2014

Last certification

Jun 9, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 29, 2013 in AZ

Enrollment address

11022 N 28TH Dr
Ste 205
Phoenix, AZ 85029-5635

Listed as

Wings of Hope Hospice and Palliative Care, Inc.CCN 031631

Ownership

For-Profit

Certified

Nov 24, 2014

Medicare certification status

ActiveFrom the Provider of Services file

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.

Owners & managing parties with NPI records 1

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

• Ilya Katz, D.O.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1104026319

  W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ilya Katz, D.O.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1104026319
  NPD

Affiliated clinicians 1

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

• Ilya Katz, D.O.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1104026319

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1710312897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11022 N 28TH DR STE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295635",
            "telephone_number": "602-971-0304",
            "fax_number": "602-971-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11022 N 28TH DR STE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85029",
            "telephone_number": "602-971-0304",
            "fax_number": "602-971-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF HOPE HOSPICE AND PALLIATIVE CARE INC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CAO/CEO",
        "authorized_official_telephone_number": "602-971-0304",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": "HSPC6340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wings of Hope Hospice and Palliative Care",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Wings of Hope Hospice and Palliative Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jonathan Paul Wingfield, APRN, FNP-BC
• Lisa Anne Winghart, MPA, RDN
• Lauren M Wingo, RBT
• Shana Nicolle Wingo, MD
• Wings of Hope Hospice and Palliative Care Inc.
• Wings of Hope Medical Services, LLC
• Taylor Wingstrom, DPT
• Steven J. Wininger, M.D.
• Thomas Winkel, MA, LPC, NCC
• Ella Winkle, PHARM D

• 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 Jun 12, 2018; 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.