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PHOENIX HOSPICE & PALLIATIVE CARE LLC NPI 1841881992


NPI Information

NPI: 1841881992
Provider Name: PHOENIX HOSPICE & PALLIATIVE CARE, LLC

Doing Business As: ENDEAVOR HOSPICE

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

CLIA Number: 03D2212106

Address:
4858 E BASELINE RD STE 104
MESA, AZ
ZIP 85206
Phone: (480) 674-8228
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PHOENIX HOSPICE & PALLIATIVE CARE, LLC is a hospice care community based in Mesa, AZ. PHOENIX HOSPICE & PALLIATIVE CARE, LLC NPI is 1841881992. The provider is registered as an organization entity type.
The provider Is Doing Business As Endeavor Hospice.

The provider's business location address is:

4858 E BASELINE RD STE 104
MESA, AZ
ZIP 85206-638
Phone: (480) 674-8228
Fax: (480) 674-8224

The provider's authorized official is David Rodgers .
The authorized official title is Ceo and has the following contact phone number (480) 421-8523.

The CLIA number assigned to this NPI record is 03D2212106 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2021 and was last updated on 1/20/2023.


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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