Organization Active NPI

Care Plus Hospice Care LLC

  • Community Based Hospice Care Agency
  • Scottsdale, AZ
National Provider Identifier
1972275824
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CARE PLUS HOSPICE CARE LLC
Practice address
10290 N 92ND St Ste 201
Scottsdale, AZ 85258-4528
Phone
(480) 530-0888
Fax
(480) 520-4727
NPI assigned
Sep 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Olga Khalatyan
Title
Owner
Phone
(480) 530-0888

Specialties & licenses 1

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

Addresses

Primary practice location

10290 N 92ND St Ste 201
Scottsdale, AZ 85258-4528

Mailing address

10290 N 92ND St Ste 201
Scottsdale, AZ 85258-4528
Phone (480) 530-0888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211006000458 AZ Part A Provider - Hospice 3779981709 Practice locations: Scottsdale, AZ

Hospice certification: CCN 001509

Legal name
CARE PLUS HOSPICE CARE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 1, 2022
Last certification
Jul 1, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Nov 11, 2020 in AZ
Enrollment address
10290 N 92ND St
Ste 201
Scottsdale, AZ 85258-4528

Care Compare: Hospice

Medicare Care Compare
Listed as
Care Plus Hospice Care, LLCCCN 001509
Certified
Jul 1, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

628 N 24th St
Ste C
Phoenix, AZ 85008
Phone (602) 887-3097

10290 N 92nd St
Ste 201
Scottsdale, AZ 85258
Phone (480) 530-0888

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
Carl Ferguson Individual Contracted Managing EmployeeMD; Apr 1, 2023
Olga Khalatyan Individual 5% Or Greater Direct Ownership Interest Mar 23, 2023 100%
General Partnership Interest Mar 23, 2023 100%
Corporate Officer Mar 23, 2023 100%
Corporate DirectorAdministrator Mar 23, 2023 100%
W-2 Managing Employee Mar 23, 2023 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1972275824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10290 N 92ND ST STE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584528",
            "telephone_number": "480-530-0888",
            "fax_number": "480-520-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10290 N 92ND ST STE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584528",
            "telephone_number": "480-530-0888",
            "fax_number": "480-520-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE PLUS HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "KHALATYAN",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-530-0888"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.