Organization Active NPI

St Peters Hospice Care LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
National Provider Identifier
1891398079
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Oct 13, 2021

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)CodeLicenseStatePrimary
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 Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Axxess Direct

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.