PRIME CARE HOSPICE LLC NPI 1770769978

NPI Information

NPI: 1770769978
Provider Name: PRIME CARE HOSPICE, LLC

Doing Business As: PRIME HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
4225 W GLENDALE AVE STE A200
PHOENIX, AZ
ZIP 85051
Phone: (623) 847-2323
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PRIME CARE HOSPICE, LLC is a hospice care community based in Phoenix, AZ. PRIME CARE HOSPICE, LLC NPI is 1770769978. The provider is registered as an organization entity type.
The provider Is Doing Business As Prime Hospice.

The provider's business location address is:

4225 W GLENDALE AVE STE A200
PHOENIX, AZ
ZIP 85051
Phone: (623) 847-2323
Fax: (602) 934-5603

The provider's authorized official is Satwant K Bhowra .
The authorized official title is Cfo and has the following contact phone number (602) 550-4065.

The enumeration date for this NPI number is 1/17/2008 and was last updated on 11/18/2019.

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		HSPC4331	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	433523	MEDICAID	ARIZONA

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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