STONERIDGE HOSPICE NPI 1447885843

NPI Information

NPI: 1447885843
Provider Name: STONERIDGE HOSPICE
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 03D2189690

Address:
20860 N TATUM BLVD STE 300
PHOENIX, AZ
ZIP 85050
Phone: (480) 771-3983
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STONERIDGE HOSPICE is a hospice care community based in Phoenix, AZ. STONERIDGE HOSPICE NPI is 1447885843. The provider is registered as an organization entity type.

The provider's business location address is:

20860 N TATUM BLVD STE 300
PHOENIX, AZ
ZIP 85050-283
Phone: (480) 771-3983

The provider's authorized official is Patti Brazel .
The authorized official title is Member/manager and has the following contact phone number (602) 361-8124.

The CLIA number assigned to this NPI record is 03D2189690 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2020 and was last updated on 5/8/2020.

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

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	1234	OTHER		N/A

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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