ADVISACARE HOSPICE LLC NPI 1801245048

NPI Information

NPI: 1801245048
Provider Name: ADVISACARE HOSPICE LLC

Former Legal Business Name: BEECH HOSPICE LLC

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

Address:
1757 E BASELINE RD STE 106
GILBERT, AZ
ZIP 85233
Phone: (480) 284-4600
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ADVISACARE HOSPICE LLC is a hospice care community based in Gilbert, AZ. ADVISACARE HOSPICE LLC NPI is 1801245048. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Beech Hospice Llc.

The provider's business location address is:

1757 E BASELINE RD STE 106
GILBERT, AZ
ZIP 85233-533
Phone: (480) 284-4600
Fax: (480) 284-4688

The provider's authorized official is Kristian Skogen .
The authorized official title is Ceo and has the following contact phone number (616) 464-1117.

The CLIA number assigned to this NPI record is 03D2110968 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2016 and was last updated on 5/15/2019.

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		HSPC7535	ARIZONA	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

NPI Synchronization or Removal

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