LILYCARE OF ARIZONA LLC NPI 1659084820

NPI Information

NPI: 1659084820
Provider Name: LILYCARE OF ARIZONA LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 03D2280479

Address:
14800 W. MOUNTAIN VIEW BLVD
SURPRISE, AZ
ZIP 85374
Phone: (480) 757-9758
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LILYCARE OF ARIZONA LLC is a hospice care community based in Surprise, AZ. LILYCARE OF ARIZONA LLC NPI is 1659084820. The provider is registered as an organization entity type.

The provider's business location address is:

14800 W. MOUNTAIN VIEW BLVD
SURPRISE, AZ
ZIP 85374-619
Phone: (480) 757-9758

The provider's authorized official is Melissa Powell .
The authorized official title is Ceo and has the following contact phone number (718) 567-1121.

The CLIA number assigned to this NPI record is 03D2280479 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2023 and was last updated on 5/7/2023.

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: 5/5/2024

NPI Synchronization or Removal

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