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ETERNITY HOSPICE AND PALLIATIVE CARE, PLLC
NPI 1396140778
Hospice Care, Community Based in Phoenix, AZ

Active since October 28, 2014CLIA 03D2121395 · Waiver
4140 N 108TH AVE STE 101A, PHOENIX, AZ 85037(623) 203-6678(888) 778-1251 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2021, Mar 24, 2017, Mar 17, 2017 and 1 more (4 updates tracked since 2017).

About Eternity Hospice And Palliative Care, Pllc NPPES

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

ETERNITY HOSPICE AND PALLIATIVE CARE, PLLC (NPI 1396140778) is a healthcare organization registered as a hospice care, community based in Phoenix, Arizona and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through November 2, 2026 and lists Amabel Baltar Bongoyan, Administrator/don, as its authorized official.

NPPES Registry Identity

NPI1396140778
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameETERNITY HOSPICE AND PALLIATIVE CARE, PLLC
Location Address4140 N 108TH AVE STE 101APhoenix, AZ 85037-5466
Mailing Address4140 N 108th Ave Ste 101aPhoenix, AZ 85037-5466 · (623) 203-6678 · Fax (888) 778-1251
Phone(623) 203-6678
Fax(888) 778-1251
Organization SubpartNo
Authorized OfficialAmabel Baltar BongoyanAdministrator/don · (602) 374-6878
Enumeration DateOctober 28, 2014
Last NPPES UpdateApril 12, 20214 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
✔ NPI 1396140778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
Licenses✔ Licensed in AZ · HSPC7945✔ Licensed in AZ · HSPC6394
4140 N 108TH AVE STE 101A, Phoenix, AZ 85037
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc..Insurance ›

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 03D2121395

Eternity Hospice & Palliative Care, PLLC · Phoenix, AZ
Active · expires Nov 2, 2026
CLIA Number03D2121395
Laboratory TypeHospice
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorAmabel Bongoyan
Laboratory Phone(602) 374-6878
Laboratory LocationEternity Hospice & Palliative Care, PLLC4140 N 108th Ave, Suite 101A, Phoenix, AZ 85037
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Eternity Hospice & Palliative Care (CMS certification number 031667), from CMS Care Compare.

Eternity Hospice & Palliative Care

Hospice · Phoenix, AZ
OwnershipOther
CMS Certification Number031667
CMS RegionRegion 9
Medicare-Certified SinceJune 26, 2017
Average Daily Census15patients per day on average
Location4140 North 108th Avenue, Suite 101APhoenix, AZ 85037 · Maricopa County
Phone(602) 374-6878
Routine home care and other levels of care Serves Medicare Advantage patients Serves dual-eligible patients

Care Settings & Patients

Where care was provided, as a share of care days
Home44%
Assisted living facility55%
Nursing facility0%
Inpatient hospital0%
Patients with dementia
39%
Patients with circulatory or heart disease
0%
Patients with respiratory disease
0%
Patients with other conditions
0%
Profile statistics are from the 2020 CMS reporting year. Zero values reflect that year and may differ in more recent years.

Quality Measures

Hospice and Palliative Care Treatment Preferences
47 patient stays
100%
Beliefs & Values Addressed (if desired by the patient)
47 patient stays
100%
Hospice and Palliative Care Pain Screening
47 patient stays
97.9%
Hospice and Palliative Care Pain Assessment
43 patient stays
100%
Hospice and Palliative Care Dyspnea Screening
47 patient stays
100%
Hospice and Palliative Care Dyspnea Treatment
25 patient stays
100%
Hospice and Palliative Care Composite Process Measure
47 patient stays
97.9%
Hospice Visits in the Last Days of Life
45 patient stays
17.8%
Measures are reported under the CMS Hospice Quality Reporting Program. Reporting periods vary by measure (2022 to 2023). Measures without current CMS data are not shown.
5/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 51
0%
Gaps in nursing visits
National percentile 93
87.3%
Early live discharges
National percentile 45
5.3%
Late live discharges
National percentile 43
36.8%
Burdensome transitions, Type 1
National percentile 43
5.3%
Burdensome transitions, Type 2
National percentile 43
0%
Per-beneficiary spending
National percentile 72
$20,867
Nurse care minutes per routine home care days
National percentile 10
8.2 minutes
Skilled nursing minutes on weekends
National percentile 5
3.4%
Visits near death
National percentile 8
70.9%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

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 Eternity Hospice And Palliative Care, PLLC's NPI number?

The NPI number for Eternity Hospice And Palliative Care, PLLC is 1396140778. It was assigned to this organization in the NPPES registry on October 28, 2014.

Where is Eternity Hospice And Palliative Care, PLLC located?

Eternity Hospice And Palliative Care, PLLC is located at 4140 N 108th Ave Ste 101A, Phoenix, AZ 85037. The listed phone number is (623) 203-6678.

What is Eternity Hospice And Palliative Care, PLLC's specialty?

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

Does Eternity Hospice And Palliative Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2121395) is associated with this NPI, valid through November 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Eternity Hospice And Palliative Care, PLLC a Medicare-certified hospice?

Yes. Eternity Hospice & Palliative Care is a Medicare-certified hospice (CMS certification number 031667), certified since June 26, 2017.

What insurance does Eternity Hospice And Palliative Care, PLLC accept?

Health plans from Oscar Health Plan, Inc. list Eternity Hospice And Palliative Care, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eternity Hospice And Palliative Care, PLLC was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.