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AMHA HOSPICE LLC NPI 1912329533


NPI Information

NPI: 1912329533
Provider Name: AMHA HOSPICE LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 03D2072070

Address:
2577 W QUEEN CREEK RD STE 200A
CHANDLER, AZ
ZIP 85248
Phone: (480) 359-3998
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AMHA HOSPICE LLC is a hospice care community based in Chandler, AZ. AMHA HOSPICE LLC NPI is 1912329533. The provider is registered as an organization entity type.

The provider's business location address is:

2577 W QUEEN CREEK RD STE 200A
CHANDLER, AZ
ZIP 85248-913
Phone: (480) 359-3998
Fax: (480) 385-6785

The provider's authorized official is Mai Shannon .
The authorized official title is Ceo and has the following contact phone number (480) 359-3998.

The CLIA number assigned to this NPI record is 03D2072070 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2014 and was last updated on 10/20/2023.


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 BasedARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1032584MEDICAIDARIZONA
2HSPC6237OTHERARIZONAAZ DEPARTMENT OF HEALTH

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

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.