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AZ HOSPICE CARE INC NPI 1790259927


NPI Information

NPI: 1790259927
Provider Name: AZ HOSPICE CARE INC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 03D2166686

Address:
1825 E NORTHERN AVE STE 100
PHOENIX, AZ
ZIP 85020
Phone: (480) 645-9640
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AZ HOSPICE CARE INC is a hospice care community based in Phoenix, AZ. AZ HOSPICE CARE INC NPI is 1790259927. The provider is registered as an organization entity type.

The provider's business location address is:

1825 E NORTHERN AVE STE 100
PHOENIX, AZ
ZIP 85020-953
Phone: (480) 645-9640
Fax: (480) 645-9641

The provider's authorized official is Brandon Renner .
The authorized official title is Executive Director and has the following contact phone number (480) 645-9640.

The CLIA number assigned to this NPI record is 03D2166686 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2019 and was last updated on 8/30/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.