Organization Active NPI

Neighborhood Hospice LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Phoenix, AZ
National Provider Identifier
1760045009
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
NEIGHBORHOOD HOSPICE LLC
Practice address
2338 W Royal Palm Rd Ste C
Phoenix, AZ 85021-9339
Phone
(602) 774-0051
Fax
(602) 774-0008
NPI assigned
Apr 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
Pinky VillamorNPI 1669794079
Title
Owner
Phone
(602) 774-0051

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
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0002X Primary

Addresses

Primary practice location

2338 W Royal Palm Rd Ste C
Phoenix, AZ 85021-9339

Mailing address

2338 W Royal Palm Rd Ste C
Phoenix, AZ 85021-9339
Phone (602) 774-0051

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241111002207 AZ Part A Provider - Hospice 2365826443 Practice locations: Glendale, AZ

Hospice certification: CCN 001582

Legal name
NEIGHBORHOOD HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 5, 2025
Last certification
May 5, 2025
Organization structure
LLCProprietary
Enrollment address
18185 N 83Rd Ave
Unit 208
Glendale, AZ 85308

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
03D2295429Neighborhood Hospice18185 N 83Rd Ave Ste 208, Glendale, AZ 85308Certificate of waiverDec 11, 2027

National Provider Directory

National Provider Directory

Locations

2338 W Royal Palm Rd
Ste C
Phoenix, AZ 85021
Phone (602) 774-0051

13000 N 103rd Ave
Ste 56
Sun City, AZ 85351

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Pinky P Villamor Individual 5% Or Greater Direct Ownership InterestOwner Jul 13, 2024 100%
W-2 Managing EmployeeOwner Jul 13, 2024
A Collins Villamor Individual Contracted Managing EmployeeAd;MD; Jul 13, 2024

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1760045009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 W ROYAL PALM RD STE C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850219339",
            "telephone_number": "602-774-0051",
            "fax_number": "602-774-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 W ROYAL PALM RD STE C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850219339",
            "telephone_number": "602-774-0051",
            "fax_number": "602-774-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "VILLAMOR",
        "authorized_official_first_name": "PINKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-774-0051"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.