Active NPI
Desert Oasis Hospice LLC
- Community Based Hospice Care Agency
- Phoenix, AZ
National Provider Identifier
1033165352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- HSPC3868
- Legal business name
- DESERT OASIS HOSPICE LLC
- Practice address
- 5147 N 45TH PL
Phoenix, AZ 85018-1704 - Phone
- (602) 505-1018
- NPI assigned
- May 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin Gordon Jackson
- Title
- President
- Phone
- (602) 424-4204
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | HSPC3868 | AZ | Primary |
Addresses
Primary practice location
5147 N 45TH PL
Phoenix, AZ 85018-1704
Mailing address
5147 N 45TH PL
Phoenix, AZ 85018-1704
Phone (602) 505-1018
National Provider Directory
National Provider DirectoryLocations
2255 N 44th St
#200
Phoenix, AZ 85008
Phone (602) 954-0444
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Women's Health Nurse Practitioner
- Phoenix, AZ
- NPI 1538190269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481673600000",
"number": "1033165352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5147 N 45TH PL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850181704",
"telephone_number": "602-505-1018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5147 N 45TH PL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850181704",
"telephone_number": "602-505-1018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT OASIS HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2016-12-14",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "GORDON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-424-4204",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "AZ",
"license": "HSPC3868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Desert Mountain Health
- Desert Mountain Medical Center LLC
- Desert Neonatology Associates
- Desert Neonatology Associates
- Desert Oak Counseling, LLC
- Desert Orthopaedics & Rehabilitation, PC
- Desert Pain and Rehab Specialists
- Desert Path to Recovery LLC
- Desert Peaks Neuropsychology, LLC
- Desert Phlebotomy, LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.