HIDDEN HILLS HOSPICE LLC NPI 1417548298

NPI Information

NPI: 1417548298
Provider Name: HIDDEN HILLS HOSPICE LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 03D2213722

Address:
1825 E NORTHERN AVE STE 161A
PHOENIX, AZ
ZIP 85020
Phone: (702) 355-2695
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HIDDEN HILLS HOSPICE LLC is a hospice care community based in Phoenix, AZ. HIDDEN HILLS HOSPICE LLC NPI is 1417548298. The provider is registered as an organization entity type.

The provider's business location address is:

1825 E NORTHERN AVE STE 161A
PHOENIX, AZ
ZIP 85020-980
Phone: (702) 355-2695

The provider's authorized official is James Demasi .
The authorized official title is Direct and has the following contact phone number (702) 355-2695.

The CLIA number assigned to this NPI record is 03D2213722 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/3/2021 and was last updated on 2/3/2021.

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: 11/14/2023

NPI Synchronization or Removal

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