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CASA DE LA LUZ LLC NPI 1386619799


NPI Information

NPI: 1386619799
Provider Name: CASA DE LA LUZ LLC

Doing Business As: CASA DE LA LUZ HOSPICE

Classification: Hospice, Inpatient - 315D00000X
Entity Type: Organization

CLIA Number: 03D1021745

Address:
7740 N ORACLE RD
TUCSON, AZ
ZIP 85704
Phone: (520) 544-9890
Get Directions

CASA DE LA LUZ LLC is a hospice inpatient in Tucson, AZ. The provider is a provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. CASA DE LA LUZ LLC NPI is 1386619799. The provider is registered as an organization entity type.
The provider Is Doing Business As Casa De La Luz Hospice.

The provider's business location address is:

7740 N ORACLE RD
TUCSON, AZ
ZIP 85704-390
Phone: (520) 544-9890
Fax: (520) 544-9894

The provider's authorized official is Agnes C Poore .
The authorized official title is Member, Llc and has the following contact phone number (520) 544-9890.

The CLIA number assigned to this NPI record is 03D1021745 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2006 and was last updated on 3/10/2015.


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 BasedHSPC2206ARIZONANo
2315D00000XHospice, InpatientHSPC3560ARIZONAYes

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
1031547MEDICARE OSCAR/CERTIFICATIONARIZONA
2483149MEDICAIDARIZONA

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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