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SACRED HEART HOSPICE LLC NPI 1437277100


NPI Information

NPI: 1437277100
Provider Name: SACRED HEART HOSPICE LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 03D2249633

Address:
426 N 44TH ST STE 125
PHOENIX, AZ
ZIP 85008
Phone: (602) 799-3749
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SACRED HEART HOSPICE LLC is a hospice care community based in Phoenix, AZ. SACRED HEART HOSPICE LLC NPI is 1437277100. The provider is registered as an organization entity type.

The provider's business location address is:

426 N 44TH ST STE 125
PHOENIX, AZ
ZIP 85008-508
Phone: (602) 799-3749

The provider's authorized official is April Bolles .
The authorized official title is Ceo and has the following contact phone number (602) 476-2047.

The CLIA number assigned to this NPI record is 03D2249633 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 8/2/2019.


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 BasedHSPC4126ARIZONAYes

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
1HCPCOTHERARIZONAAZDHS LICENSE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.