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DIVINE HOSPICE AND PALLIATIVE CARE LLC NPI 1104223106


NPI Information

NPI: 1104223106
Provider Name: DIVINE HOSPICE AND PALLIATIVE CARE LLC

Doing Business As: DIVINE HOSPICE AND PALLIATIVE CARE LLC

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

CLIA Number: 03D2099690

Address:
16165 N 83RD AVE
SUITE 237
PEORIA, AZ
ZIP 85382
Phone: (623) 888-3016
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DIVINE HOSPICE AND PALLIATIVE CARE LLC is a hospice care community based in Peoria, AZ. DIVINE HOSPICE AND PALLIATIVE CARE LLC NPI is 1104223106. The provider is registered as an organization entity type.
The provider Is Doing Business As Divine Hospice And Palliative Care Llc.

The provider's business location address is:

16165 N 83RD AVE
SUITE 237
PEORIA, AZ
ZIP 85382-816
Phone: (623) 888-3016
Fax: (602) 733-6487

The provider's authorized official is Rikesh Desai .
The authorized official title is Administrator and has the following contact phone number (623) 888-3016.

The CLIA number assigned to this NPI record is 03D2099690 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2014 and was last updated on 11/22/2016.


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: 11/14/2023

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