STILLWATER HOSPICE LLC NPI 1548825276

NPI Information

NPI: 1548825276
Provider Name: STILLWATER HOSPICE LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 03D2167455

Address:
9720 W PEORIA AVE STE 115
PEORIA, AZ
ZIP 85345
Phone: (602) 567-9953
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STILLWATER HOSPICE LLC is a hospice care community based in Peoria, AZ. STILLWATER HOSPICE LLC NPI is 1548825276. The provider is registered as an organization entity type.

The provider's business location address is:

9720 W PEORIA AVE STE 115
PEORIA, AZ
ZIP 85345-132
Phone: (602) 567-9953
Fax: (602) 567-9933

The provider's authorized official is Ammon Jacob Wolfley .
The authorized official title is Owner and has the following contact phone number (602) 573-9890.

The CLIA number assigned to this NPI record is 03D2167455 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2019 and was last updated on 5/8/2019.

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 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: 4/28/2024

NPI Synchronization or Removal

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