Organization Active NPI

Apri Hospice, LLC

Doing business as RD Hospice

  • Community Based Hospice Care Agency
  • Peoria, AZ
National Provider Identifier
1730771072
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
APRI HOSPICE, LLC
Doing business as
RD Hospice
Practice address
16165 N 83Rd Ave Ste 200
Peoria, AZ 85382-5816
Phone
(623) 688-0011
Fax
(623) 321-8488
NPI assigned
Feb 8, 2021
Last updated
Feb 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Dr. David Lup, DNP, FNP-CNPI 1306503396
Title
Ceo
Phone
(623) 300-6581

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 Primary

Addresses

Primary practice location

16165 N 83Rd Ave Ste 200
Peoria, AZ 85382-5816

Mailing address

16165 N 83Rd Ave Ste 200
Peoria, AZ 85382-5816
Phone (623) 688-0011

Other names 1

  • RD Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210419000797 AZ Part A Provider - Hospice 5092123786 Practice locations: Peoria, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730771072. Details of each certification follow.

Hospice certification: CCN 001535

Legal name
APRI HOSPICE, LLC
Doing business as
RD HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 12, 2022
Last certification
Dec 1, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Feb 6, 2021 in AZ
Enrollment address
16165 N 83Rd Ave
Ste 200
Peoria, AZ 85382-5816

Care Compare: Hospice

Medicare Care Compare
Listed as
Rd HospiceCCN 001535 · All quality measures
Certified
Dec 12, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2213214Apri Hospice, LLC Dba, Rd Hospice16165 N 83Rd Ave Ste 200, Peoria, AZ 85382Certificate of waiverFeb 9, 2027

National Provider Directory

National Provider Directory

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.

NameRoleSinceShare
Daniel Ognean Individual Contracted Managing EmployeeMD; Jan 1, 2024
David Emanuel Lup Individual 5% Or Greater Indirect Ownership Interest Feb 20, 2023 100%
Corporate Officer Feb 20, 2023 100%
W-2 Managing EmployeeAd; Feb 20, 2023 100%
Operational/Managerial Control Feb 20, 2023 100%
Rd Hospice Group, LLC Organization, Peoria, AZ LLC 5% Or Greater Direct Ownership Interest Feb 20, 2023 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 1

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": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1730771072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16165 N 83RD AVE STE 200",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825816",
            "telephone_number": "623-688-0011",
            "fax_number": "623-321-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16165 N 83RD AVE STE 200",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825816",
            "telephone_number": "623-688-0011",
            "fax_number": "623-321-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APRI HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "LUP",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-300-6581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RD Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.