Organization Active NPI

V a Hospice 1 Inc

  • Community Based Hospice Care Agency
  • Peoria, AZ
National Provider Identifier
1841607686
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
V A HOSPICE 1 INC
Practice address
6718 W Greenway Rd
Suite 205
Peoria, AZ 85381-4583
Phone
(844) 824-3577
Fax
(844) 329-8682
NPI assigned
Jul 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Authorized official

Name
Mr. Armen Ghadimian
Title
President/Ceo
Phone
(844) 824-3577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

6718 W Greenway Rd
Suite 205
Peoria, AZ 85381-4583

Mailing address

6710 N 47TH Ave
Suite 8
Glendale, AZ 85301-4111
Phone (844) 824-3577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

6710 N 47th Ave
Ste 8
Glendale, AZ 85301
Phone (623) 842-3077

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2018 Change of OwnershipThis provider was the seller Billet Hospice Inc - PeoriaCCN 031634, AZ, NPI 1184141301

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1841607686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 N 47TH AVE",
            "address_2": "SUITE 8",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853014111",
            "telephone_number": "844-824-3577",
            "fax_number": "844-329-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6718 W GREENWAY RD",
            "address_2": "SUITE 205",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814583",
            "telephone_number": "844-824-3577",
            "fax_number": "844-329-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V A HOSPICE 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "GHADIMIAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "844-824-3577",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.