Organization 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
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HSPC6831 Issued in AZ
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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)CodeLicenseStatePrimary
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 Doing business as

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

5287 S Highway 95
Ste H
Fort Mohave, AZ 86426
Phone (844) 824-3577

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2018 Change of OwnershipThis provider was the seller Billet Hospice Inc - Bullhead CityCCN 031650, AZ, NPI 1669990941

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": "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

Sources for this page

Verify at the official NPI Registry.