Hospice of America LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HOSPICE OF AMERICA LLC

Practice address

1837 S Mesa Dr Ste C200
Mesa, AZ 85210-6246

Phone

(480) 219-8259

Fax

(480) 686-8263

NPI assigned

Oct 28, 2016

Last updated

Feb 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yanelis Gonzalez

Title

Administrator

Phone

(480) 696-4980

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952853632. Details of each certification follow.

• CCN 031673 Hospice · Active · Details

Hospice certification: CCN 031673

Legal name

HOSPICE OF AMERICA LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 11, 2017

Last certification

Nov 13, 2020

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

Oct 26, 2016 in AZ

Enrollment address

1837 S Mesa Dr
Ste C200
Mesa, AZ 85210-6246

Listed as

Hospice of America, LLCCCN 031673 · All quality measures

Ownership

For-Profit

Certified

Oct 11, 2017

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Sultan Mohammad, MD

  • Family Medicine Physician
  • Buckeye, AZ
  • NPI 1760699888

  W-2 Managing Employee

  CMS ownership

Facilities with the same owner 2

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

• Advance Home Health Care LLC

  • Home Health Agency
  • Mesa, AZ
  • NPI 1659751006

  Health Acquisition Group LLC

  CMS ownership
• American Home Health Services, Inc

  • Home Health Agency
  • Mesa, AZ
  • NPI 1114279536

  Health Acquisition Group LLC

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Sultan Mohammad, MD

  • Family Medicine Physician
  • Buckeye, AZ
  • NPI 1760699888

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1952853632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 S MESA DR STE C200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106246",
            "telephone_number": "480-219-8259",
            "fax_number": "480-686-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 S MESA DR STE C200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106246",
            "telephone_number": "480-219-8259",
            "fax_number": "480-686-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF AMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "YANELIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-696-4980"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Lynn Hoskins, F-NP
• Hospice and Palliative Care of Arizona, LLC
• Hospice at Home of Arizona LLC
• Hospice Care of Arizona LLC.
• Hospice Integrity LLC (Hospice Integrity)
• Hospice of the Southwest LLC
• Hospice of the Southwest, LLC (Bridges Palliative Care & Transition Programs)
• Hospice Promise of Mohave LLC
• Kimberly Marie Hoste, FNP-C
• Anna Joel Hough

• Community Based Hospice Care Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.