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GOLDEN CARE HOSPICE LLC. NPI 1811549488


NPI Information

NPI: 1811549488
Provider Name: GOLDEN CARE HOSPICE, LLC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 03D2169202

Address:
2320 W PEORIA AVE STE C122-C
PHOENIX, AZ
ZIP 85029
Phone: (602) 491-0411
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GOLDEN CARE HOSPICE, LLC. is a hospice care community based in Phoenix, AZ. GOLDEN CARE HOSPICE, LLC. NPI is 1811549488. The provider is registered as an organization entity type.

The provider's business location address is:

2320 W PEORIA AVE STE C122-C
PHOENIX, AZ
ZIP 85029-753
Phone: (602) 491-0411
Fax: (602) 491-0412

The provider's authorized official is Roweliza Martin .
The authorized official title is Administrator and has the following contact phone number (602) 491-0411.

The CLIA number assigned to this NPI record is 03D2169202 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2019 and was last updated on 7/18/2023.


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

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