Organization Active NPI

Shapct, LLC

Doing business as Arista Hospice

  • Community Based Hospice Care Agency
  • Tucson, AZ
National Provider Identifier
1881910438
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SHAPCT, LLC
Doing business as
Arista Hospice
Practice address
1636 N Swan Rd Ste 250
Tucson, AZ 85712-4067
Phone
(520) 333-0333
Fax
(520) 325-9938
NPI assigned
Apr 7, 2010
Last updated
Mar 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Danielle I Sipe, RN BSN
Title
Member
Phone
(520) 333-0333

Specialties & licenses 1

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

Addresses

Primary practice location

1636 N Swan Rd Ste 250
Tucson, AZ 85712-4067

Mailing address

1636 N Swan Rd Ste 250
Tucson, AZ 85712-4067
Phone (520) 333-0333

Other identifiers 2

IdentifierTypeStateIssuer
HSPC7867OtherAZSTATE LICENSE
141609OtherAHCCCS

Other names 1

  • Arista Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130531000057 AZ Part A Provider - Hospice 1153450952 Practice locations: Tucson, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881910438. Details of each certification follow.

Hospice certification: CCN 031593

Legal name
SHAPCT, LLC
Doing business as
ARISTA HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 14, 2010
Last certification
Nov 19, 2020
Ownership / control type
Proprietary - Individual
Organization structure
LLCProprietary
Enrollment address
1636 N Swan Rd
Ste 250
Tucson, AZ 85712-4067

Care Compare: Hospice

Medicare Care Compare
Listed as
Arista HospiceCCN 031593 · All quality measures
Ownership
For-Profit
Certified
Dec 14, 2010
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

955 W 4th St
Ste B
Benson, AZ 85602
Phone (520) 333-0333

1636 N Swan Rd
Ste 250
Tucson, AZ 85712
Phone (520) 333-0333

5930 E Pima St
Tucson, AZ 85712
Phone (520) 861-4063

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
Danielle I Sipe Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 100%
W-2 Managing Employee Jan 1, 2023
Operational/Managerial ControlMember Jan 1, 2023 100%
Adept Healthcare Management LLC Organization, Vail, AZ LLC 5% Or Greater Direct Ownership Interest Oct 1, 2016 100%

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

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": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1881910438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 N SWAN RD STE 250",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124067",
            "telephone_number": "520-333-0333",
            "fax_number": "520-325-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 N SWAN RD STE 250",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124067",
            "telephone_number": "520-333-0333",
            "fax_number": "520-325-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPCT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "SIPE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "520-333-0333",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "HSPC7867",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "141609",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arista Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.