MEDICARE: OAKMONT HOSPICE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1588344485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAKMONT HOSPICE, LLC

Provider Business Mailing Address
First Line	:	2432 W PEORIA AVE STE 1345A
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-4741
Country	:	US
Telephone Number	:	480-716-4517
Fax Number	:	480-716-5307

Provider Business Practice Location Address
First Line	:	2432 W PEORIA AVE STE 1345A
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-4741
Country	:	US
Telephone Number	:	480-716-4517
Fax Number	:	480-716-5307

Authorized Official
Title or Position	:	CEO
Name	:	MR. GAREGIN MKRYAN
Credential	:
Telephone Number	:	480-716-4517

Provider Enumeration Date	:	07/25/2023
Last Update Date	:	07/21/2025

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