PRISM HOSPICE LLC NPI 1023662665

NPI Information

NPI: 1023662665
Provider Name: PRISM HOSPICE, LLC

Doing Business As: PRISM HOSPICE

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

Address:
401 N ALMA SCHOOL RD STE 3
CHANDLER, AZ
ZIP 85224
Phone: (480) 687-9439
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PRISM HOSPICE, LLC is a hospice care community based in Chandler, AZ. PRISM HOSPICE, LLC NPI is 1023662665. The provider is registered as an organization entity type.
The provider Is Doing Business As Prism Hospice.

The provider's business location address is:

401 N ALMA SCHOOL RD STE 3
CHANDLER, AZ
ZIP 85224-369
Phone: (480) 687-9439
Fax: (480) 550-8558

The provider's authorized official is Edgar Delos Santos .
The authorized official title is Manager and has the following contact phone number (951) 415-6942.

The CLIA number assigned to this NPI record is 03D2174524 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2019 and was last updated on 3/15/2024.

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

NPI Synchronization or Removal

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