Hospice Promise LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HOSPICE PROMISE LLC

Practice address

17235 N 75TH Ave Ste E175
Glendale, AZ 85308-0870

Phone

(623) 209-7003

Fax

(623) 209-7008

NPI assigned

Aug 27, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Deborah Horning, LPN

Title

President/Ceo

Phone

(623) 792-0070

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Hospice certification: CCN 031630

Legal name

HOSPICE PROMISE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 29, 2014

Last certification

Jul 24, 2020

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

Aug 13, 2013 in AZ

Enrollment address

17235 N 75TH Ave
Ste E175
Glendale, AZ 85308-0870

Listed as

Hospice Promise, LLCCCN 031630

Ownership

For-Profit

Certified

Sep 29, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Owners & managing parties with NPI records 1

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

• Manish Sahni, MD

  • Internal Medicine Physician
  • Sun City, AZ
  • NPI 1558477984

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Gerald S Asin, M.D.

  • Internal Medicine Physician
  • Paradise Valley, AZ
  • NPI 1770576365

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1770917692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17235 N 75TH AVE STE E175",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853080870",
            "telephone_number": "623-209-7003",
            "fax_number": "623-209-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17235 N 75TH AVE STE E175",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853080870",
            "telephone_number": "623-209-7003",
            "fax_number": "623-209-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE PROMISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "HORNING",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "623-792-0070",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000029",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura L. Horne, R.N.
• Wan-Lin Horng, M.D.
• Hoshi Infectious Disease LLC
• Heather Jade Hoskin, MFT INTERN
• Hospice of Hope, LLC
• Hospital Oral Surgical Services, PLC
• Hosstrup, PLC
• Cynthia Hostetler
• Raven Houle
• House of Healing Counseling and Consulting PLLC

• Community Based Hospice Care Agency in Glendale, AZ
• Providers in Glendale, 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 Nov 4, 2022; 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.