HOSPICE OF THE SOUTHWEST - WEST VALLEY LLC NPI 1952578957

NPI Information

NPI: 1952578957
Provider Name: HOSPICE OF THE SOUTHWEST - WEST VALLEY, LLC

Doing Business As: AVIANT HOSPICE GILA

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
136 S BROAD ST
GLOBE, AZ
ZIP 85501
Phone: (928) 425-5400
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HOSPICE OF THE SOUTHWEST - WEST VALLEY, LLC is a hospice care community based in Globe, AZ. HOSPICE OF THE SOUTHWEST - WEST VALLEY, LLC NPI is 1952578957. The provider is registered as an organization entity type.
The provider Is Doing Business As Aviant Hospice Gila.

The provider's business location address is:

136 S BROAD ST
GLOBE, AZ
ZIP 85501-602
Phone: (928) 425-5400
Fax: (928) 425-5411

The provider's authorized official is Richard E Bass .
The authorized official title is President and has the following contact phone number (602) 717-4751.

The enumeration date for this NPI number is 5/9/2008 and was last updated on 1/5/2017.

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			ARIZONA	No
2	251G00000X	Hospice Care, Community Based		HSPC6544	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	03-1582	MEDICARE UPIN	ARIZONA
2	429014	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: 4/28/2024

NPI Synchronization or Removal

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