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VISTACARE USA INC. NPI 1043265473


NPI Information

NPI: 1043265473
Provider Name: VISTACARE USA, INC.

Doing Business As: VISTACARE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
6420 E BROADWAY BLVD
SUITE B-200
TUCSON, AZ
ZIP 85710
Phone: (520) 318-0700
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VISTACARE USA, INC. is a hospice care community based in Tucson, AZ. VISTACARE USA, INC. NPI is 1043265473. The provider is registered as an organization entity type.
The provider Is Doing Business As Vistacare.

The provider's business location address is:

6420 E BROADWAY BLVD
SUITE B-200
TUCSON, AZ
ZIP 85710-534
Phone: (520) 318-0700
Fax: (520) 318-0771

The provider's authorized official is Rodney Dirk Allison .
The authorized official title is Sr Vp & Cfo and has the following contact phone number (214) 922-9711.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 3/10/2008.


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 BasedHSPC-1113ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1031542MEDICARE OSCAR/CERTIFICATION
2489452MEDICAIDARIZONA

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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