WHITE ROSE GROUP LLC NPI 1245707595

NPI Information

NPI: 1245707595
Provider Name: WHITE ROSE GROUP, LLC

Doing Business As: WHITE ROSE HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
4131 N 24TH ST STE A116
PHOENIX, AZ
ZIP 85016
Phone: (602) 796-9379
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WHITE ROSE GROUP, LLC is a hospice care community based in Phoenix, AZ. WHITE ROSE GROUP, LLC NPI is 1245707595. The provider is registered as an organization entity type.
The provider Is Doing Business As White Rose Hospice.

The provider's business location address is:

4131 N 24TH ST STE A116
PHOENIX, AZ
ZIP 85016-262
Phone: (602) 796-9379
Fax: (602) 354-5802

The provider's authorized official is Cynthia Diane Shores Brooks .
The authorized official title is Owner and has the following contact phone number (602) 354-7887.

The CLIA number assigned to this NPI record is 03D2160741 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2018 and was last updated on 7/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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