PEACEFUL MOMENTS HOSPICE LLC
NPI 1144052358
Hospice Care, Community Based in Mesa, AZ

Active since August 16, 2024CLIA 03D2334302 · Waiver
644 E SOUTHERN AVE STE 201, MESA, AZ 85204(480) 262-9647 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 9, 2024, Aug 16, 2024 (2 updates tracked since 2024).

About Peaceful Moments Hospice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEACEFUL MOMENTS HOSPICE LLC (NPI 1144052358) is a healthcare organization registered as a hospice care, community based in Mesa, Arizona and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Nicholas F Fruichantie, Manager, as its authorized official.

NPPES Registry Identity

NPI1144052358
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NamePEACEFUL MOMENTS HOSPICE LLC
Location Address644 E SOUTHERN AVE STE 201Mesa, AZ 85204-4934
Mailing Address644 E Southern Ave Ste 201Mesa, AZ 85204-4934 · (480) 262-9647
Organization SubpartNo
Authorized OfficialNicholas F FruichantieManager · (480) 262-9647
Enumeration DateAugust 16, 2024
Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
NPI 1144052358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
644 E SOUTHERN AVE STE 201, Mesa, AZ 85204

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2334302

Peaceful Moments Hospice · Mesa, AZ
Active · expires Nov 18, 2027
CLIA Number03D2334302
Laboratory TypeHospice
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorNeeraj K. Vij
Laboratory Phone(480) 262-9647
Laboratory LocationPeaceful Moments Hospice644 E Southern Ave Ste 201, Mesa, AZ 85204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospice Care, Community Based
644 E SOUTHERN AVE STE 201
MESA, AZ 85204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peaceful Moments Hospice LLC's NPI number?

The NPI number for Peaceful Moments Hospice LLC is 1144052358. It was assigned to this organization in the NPPES registry on August 16, 2024.

Where is Peaceful Moments Hospice LLC located?

Peaceful Moments Hospice LLC is located at 644 E Southern Ave Ste 201, Mesa, AZ 85204. The listed phone number is (480) 262-9647.

What is Peaceful Moments Hospice LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Peaceful Moments Hospice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2334302) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peaceful Moments Hospice LLC was last updated on September 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.