Active NPI
V a Hospice 2 Inc
Doing business as V A Hospice 2
- Community Based Hospice Care Agency
- Fort Mohave, AZ
National Provider Identifier
1871997072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- HSPC6831
- Legal business name
- V A HOSPICE 2 INC
- Doing business as
- V A Hospice 2
- Practice address
- 5287 S Highway 95
Suite H
Fort Mohave, AZ 86426-9220 - Phone
- (844) 824-3577
- Fax
- (844) 329-8682
- NPI assigned
- Oct 17, 2014
- Last updated
- Nov 21, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Armen Ghadimian
- Title
- President/Ceo
- Phone
- (844) 824-3577
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | HSPC6831 | AZ | Primary |
Addresses
Primary practice location
5287 S Highway 95
Suite H
Fort Mohave, AZ 86426-9220
Mailing address
6718 W Greenway Rd
Suite 208
Peoria, AZ 85381-4583
Phone (844) 824-3577
Other names 1
- V A Hospice 2
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
5287 S Highway 95
Ste H
Fort Mohave, AZ 86426
Phone (844) 824-3577
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jan 1, 2018 | Change of Ownership | Billet Hospice Inc - Bullhead City |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Community Based Hospice Care Agency
- Bullhead City, AZ
- NPI 1669990941
Sold to, 2018-01-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479686400000",
"number": "1871997072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6718 W GREENWAY RD",
"address_2": "SUITE 208",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814583",
"telephone_number": "844-824-3577",
"fax_number": "824-329-8682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5287 S HIGHWAY 95",
"address_2": "SUITE H",
"city": "FORT MOHAVE",
"state": "AZ",
"postal_code": "864269220",
"telephone_number": "844-824-3577",
"fax_number": "844-329-8682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "V A HOSPICE 2 INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-17",
"last_updated": "2016-11-21",
"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"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "AZ",
"license": "HSPC6831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "V A Hospice 2",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Mohave, AZ
- Tri-State Medical Specialists LLC (TriState Pain Institute)
- Tri-State Neuro-Spine Institute, P.L.C.
- Tucson Pain Institute PC
- Kanayo Frank Ume, PHARM.D
- Urology Institute, PC
- Christian Valencia, PHARM.D.
- Valley View Emergency Group LLC
- Valley View Physician Practices LLC (Vascular Institute of Arizona)
- Valley View Physician Practices LLC (Orthopedic Institute of Arizona)
- Valley View Physician Practices LLC (GI Institute of Arizona)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.