Active NPI
St Peters Hospice Care LLC
- Community Based Hospice Care Agency
- Phoenix, AZ
National Provider Identifier
1891398079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ST PETERS HOSPICE CARE LLC
- Practice address
- 628 N 24TH St Ste D
Phoenix, AZ 85008-6016 - Phone
- (623) 476-9198
- NPI assigned
- Nov 19, 2020
- 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
- Hovhannes Karagezyan
- Title
- Ceo
- Phone
- (602) 887-3060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
628 N 24TH St Ste D
Phoenix, AZ 85008-6016
Mailing address
628 N 24TH St Ste D
Phoenix, AZ 85008-6016
Phone (623) 476-9198
Other names 1
- St Peters Hospice Care LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Axxess | Direct |
National Provider Directory
National Provider DirectoryLocations
628 N 24th St
Ste D
Phoenix, AZ 85008
Phone (623) 476-9198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634083200000",
"number": "1891398079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 N 24TH ST STE D",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086016",
"telephone_number": "623-476-9198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 N 24TH ST STE D",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086016",
"telephone_number": "623-476-9198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST PETERS HOSPICE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-19",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A",
"authorized_official_last_name": "KARAGEZYAN",
"authorized_official_first_name": "HOVHANNES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-887-3060"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Axxess",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "628 N 24th St Ste D",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850086016",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "St Peters Hospice Care LLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "St Peters Hospice Care LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.