Organization Active NPI

Desert Oasis Hospice LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
National Provider Identifier
1033165352
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HSPC3868 Issued in AZ
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

Updated by the provider on Dec 14, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.