Organization Active NPI

Valleyside Hospice Inc

  • Community Based Hospice Care Agency
  • Scottsdale, AZ
National Provider Identifier
1790457406
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
VALLEYSIDE HOSPICE INC
Practice address
9200 E Raintree Dr Ste 120
Scottsdale, AZ 85260-7308
Phone
(480) 535-6188
Fax
(602) 865-7163
NPI assigned
Sep 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Mary TovmasyanNPI 1982378790
Title
NP
Phone
(480) 535-6188

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

9200 E Raintree Dr Ste 120
Scottsdale, AZ 85260-7308

Mailing address

9200 E Raintree Dr Ste 120
Scottsdale, AZ 85260-7308
Phone (480) 535-6188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211102000320 AZ Part A Provider - Hospice 0042608655 Practice locations: Scottsdale, AZ

Hospice certification: CCN 001516

Legal name
VALLEYSIDE HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 10, 2022
Last certification
Aug 10, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Feb 22, 2021 in AZ
Enrollment address
9200 E Raintree Dr
Ste 120
Scottsdale, AZ 85260-7308

Care Compare: Hospice

Medicare Care Compare
Listed as
Valleyside Hospice IncCCN 001516 · All quality measures
Ownership
For-Profit
Certified
Aug 10, 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
03D2313102Valleyside Hospice Inc9200 E Raintree Dr Ste 120, Scottsdale, AZ 85260Certificate of waiverOct 23, 2026

National Provider Directory

National Provider Directory

Locations

8751 N 51st Ave
Ste 120
Glendale, AZ 85302
Phone (602) 600-8944

13201 N 35th Ave
Ste B9A
Phoenix, AZ 85029
Phone (602) 600-8944

9200 E Raintree Dr
Ste 120
Scottsdale, AZ 85260
Phone (480) 535-6188

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
Varuzhan Movsesyan Individual W-2 Managing EmployeeMD; Jul 1, 2022
Mary Tovmasyan Individual 5% Or Greater Direct Ownership InterestDirector Feb 22, 2021 100%
Corporate OfficerCeo Feb 22, 2021 100%
Corporate DirectorBoard Member Feb 22, 2021 100%
W-2 Managing EmployeeAd;Ceo Feb 22, 2021 100%

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 1

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

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": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1790457406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 E RAINTREE DR STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607308",
            "telephone_number": "480-535-6188",
            "fax_number": "602-865-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 E RAINTREE DR STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607308",
            "telephone_number": "480-535-6188",
            "fax_number": "602-865-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEYSIDE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "TOVMASYAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "480-535-6188"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.