AVRA HOSPICE CARE INC NPI 1659970648

NPI Information

NPI: 1659970648
Provider Name: AVRA HOSPICE CARE INC

Doing Business As: ARIZONA LIFE HOSPICE - YAVAPAI

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 03D2203714

Address:
3177 CLEARWATER DR STE B
PRESCOTT, AZ
ZIP 86305
Phone: (928) 379-3391
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AVRA HOSPICE CARE INC is a hospice care community based in Prescott, AZ. AVRA HOSPICE CARE INC NPI is 1659970648. The provider is registered as an organization entity type.
The provider Is Doing Business As Arizona Life Hospice - Yavapai.

The provider's business location address is:

3177 CLEARWATER DR STE B
PRESCOTT, AZ
ZIP 86305-272
Phone: (928) 379-3391
Fax: (928) 583-9775

The provider's authorized official is Reginald Carl Simmons .
The authorized official title is Ceo and has the following contact phone number (928) 379-3391.

The CLIA number assigned to this NPI record is 03D2203714 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2020 and was last updated on 10/19/2021.

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: 11/14/2023

NPI Synchronization or Removal

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