VERDE VALLEY COMMUNITY HOSPICE LLC NPI 1538320411

NPI Information

NPI: 1538320411
Provider Name: VERDE VALLEY COMMUNITY HOSPICE, LLC

Doing Business As: AVIANT HOSPICE YAVAPAI

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
1756 E. VILLA DR.
STE. C-17
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 634-1073
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VERDE VALLEY COMMUNITY HOSPICE, LLC is a hospice care community based in Cottonwood, AZ. VERDE VALLEY COMMUNITY HOSPICE, LLC NPI is 1538320411. The provider is registered as an organization entity type.
The provider Is Doing Business As Aviant Hospice Yavapai.

The provider's business location address is:

1756 E. VILLA DR.
STE. C-17
COTTONWOOD, AZ
ZIP 86326-751
Phone: (928) 634-1073
Fax: (928) 634-1401

The provider's authorized official is Richard E Bass .
The authorized official title is President and has the following contact phone number (602) 717-4751.

The enumeration date for this NPI number is 6/23/2008 and was last updated on 1/5/2017.

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			ARIZONA	No
2	251G00000X	Hospice Care, Community Based		HSPC4488	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	03-1583	MEDICARE UPIN	ARIZONA
2	471487	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: 11/14/2023

NPI Synchronization or Removal

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