EDEN HOSPICE AT COCHISE COUNTY LLC NPI 1770053423

NPI Information

NPI: 1770053423
Provider Name: EDEN HOSPICE AT COCHISE COUNTY, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 03D2202541

Address:
4066 E MONSANTO DR UNIT E
SIERRA VISTA, AZ
ZIP 85650
Phone: (360) 892-6628
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EDEN HOSPICE AT COCHISE COUNTY, LLC is a hospice care community based in Sierra Vista, AZ. EDEN HOSPICE AT COCHISE COUNTY, LLC NPI is 1770053423. The provider is registered as an organization entity type.

The provider's business location address is:

4066 E MONSANTO DR UNIT E
SIERRA VISTA, AZ
ZIP 85650-512
Phone: (360) 892-6628
Fax: (360) 882-5793

The provider's authorized official is Brent Weil .
The authorized official title is Ceo And Manager and has the following contact phone number (360) 892-6628.

The CLIA number assigned to this NPI record is 03D2202541 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/26/2018 and was last updated on 11/26/2018.

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 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

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