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CACTUS HEIGHTS HEALTHCARE LLC NPI 1871125849


NPI Information

NPI: 1871125849
Provider Name: CACTUS HEIGHTS HEALTHCARE LLC

Doing Business As: EMBLEM HOSPICE CENTRAL

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

CLIA Number: 03D1078221

Address:
4225 W GLENDALE AVE STE A200
PHOENIX, AZ
ZIP 85051
Phone: (623) 847-2323
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CACTUS HEIGHTS HEALTHCARE LLC is a hospice care community based in Phoenix, AZ. CACTUS HEIGHTS HEALTHCARE LLC NPI is 1871125849. The provider is registered as an organization entity type.
The provider Is Doing Business As Emblem Hospice Central.

The provider's business location address is:

4225 W GLENDALE AVE STE A200
PHOENIX, AZ
ZIP 85051-134
Phone: (623) 847-2323

The provider's authorized official is Lee Johnson .
The authorized official title is Treasurer and has the following contact phone number (208) 401-1369.

The CLIA number assigned to this NPI record is 03D1078221 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2020 and was last updated on 2/17/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

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.