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OMEGALIFE HOSPICE OF ARIZONA INC. NPI 1710418652


NPI Information

NPI: 1710418652
Provider Name: OMEGALIFE HOSPICE OF ARIZONA, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 03D2128752

Address:
10000 N 31ST AVE STE D401-B
PHOENIX, AZ
ZIP 85051
Phone: (602) 606-8898
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OMEGALIFE HOSPICE OF ARIZONA, INC. is a hospice care community based in Phoenix, AZ. OMEGALIFE HOSPICE OF ARIZONA, INC. NPI is 1710418652. The provider is registered as an organization entity type.

The provider's business location address is:

10000 N 31ST AVE STE D401-B
PHOENIX, AZ
ZIP 85051-582
Phone: (602) 606-8898
Fax: (602) 606-8899

The provider's authorized official is Joaquin Diaz .
The authorized official title is President and has the following contact phone number (602) 606-8898.

The CLIA number assigned to this NPI record is 03D2128752 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2017 and was last updated on 12/4/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedHSPC8167ARIZONAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.