HOSPICE OF THE VALLEY NPI 1366460289

NPI Information

NPI: 1366460289
Provider Name: HOSPICE OF THE VALLEY
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 03D0933339

Address:
2020 E WOODSIDE CT
GILBERT, AZ
ZIP 85297
Phone: (480) 730-5980
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HOSPICE OF THE VALLEY is a hospice care community based in Gilbert, AZ. HOSPICE OF THE VALLEY NPI is 1366460289. The provider is registered as an organization entity type.

The provider's business location address is:

2020 E WOODSIDE CT
GILBERT, AZ
ZIP 85297-339
Phone: (480) 730-5980
Fax: (480) 730-6078

The provider's authorized official is Deborah Shumway .
The authorized official title is Associate Executive Director and has the following contact phone number (602) 530-6946.

The CLIA number assigned to this NPI record is 03D0933339 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 1/16/2014.

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		HSPC0001	ARIZONA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	031505	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA	MEDICARE PROVIDER NUMBER
2	900424	MEDICAID	ARIZONA

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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