New Beginning Hospice and Palliative Care, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

NEW BEGINNING HOSPICE AND PALLIATIVE CARE, LLC

Practice address

18001 N 79TH Ave Ste A6
Glendale, AZ 85308-8389

Phone

(623) 234-8918

NPI assigned

Oct 15, 2015

Last updated

Nov 20, 2015By 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

Nelida Fantilaga Hervias

Title

Administrator

Phone

(623) 234-8036

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 1972974954. Details of each certification follow.

• CCN 031652 Hospice · Active · Details

Hospice certification: CCN 031652

Legal name

NEW BEGINNING HOSPICE AND PALLIATIVE CARE, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 25, 2016

Last certification

Jun 9, 2021

Ownership / control type

Other

Organization structure

LLCProprietary

Incorporated

Jan 7, 2014 in AZ

Enrollment address

18001 N 79TH Ave
Ste A6
Glendale, AZ 85308-8389

Listed as

New Beginning Hospice and Palliative Care, LLCCCN 031652 · All quality measures

Ownership

Other

Certified

Aug 25, 2016

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 6

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.

• Martin H Rubin, MD

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1861431322

  Contracted Managing Employee, Corporate Director, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 2

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

• Gustavo Riffel, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1588068415

  Hospice

  Care Compare affiliation
• Martin H Rubin, MD

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1861431322

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1972974954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18001 N 79TH AVE STE A6",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088389",
            "telephone_number": "623-234-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18001 N 79TH AVE STE A6",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088389",
            "telephone_number": "623-234-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNING HOSPICE AND PALLIATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "HERVIAS",
        "authorized_official_first_name": "NELIDA",
        "authorized_official_middle_name": "FANTILAGA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-234-8036"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Glendale, AZ
• Providers in Glendale, 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 Nov 20, 2015; 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.