Active NPI
Vistacare USA, Inc.
- Community Based Hospice Care Agency
- Tucson, AZ
National Provider Identifier
1043265473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- HSPC-1113
- Legal business name
- VISTACARE USA, INC.
- Practice address
- 6420 E Broadway Blvd
Suite B-200
Tucson, AZ 85710-3534 - Phone
- (520) 318-0700
- Fax
- (520) 318-0771
- NPI assigned
- May 24, 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
- Mr. Rodney Dirk Allison
- Title
- Sr VP & Cfo
- Phone
- (214) 922-9711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | HSPC-1113 | AZ | Primary |
Addresses
Primary practice location
6420 E Broadway Blvd
Suite B-200
Tucson, AZ 85710-3534
Mailing address
717 N Harwood St
Suite 1500
Dallas, TX 75201-6519
Phone (214) 922-9711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 489452 | Medicaid | AZ |
Other names 1
- VistaCare
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Community Based Hospice Care Agency
- Laurel Springs, NJ
- NPI 1992405674
Member Of
Locations
6420 E Broadway Blvd
Ste B200
Tucson, AZ 85710
Phone (520) 318-0700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205107200000",
"number": "1043265473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 N HARWOOD ST",
"address_2": "SUITE 1500",
"city": "DALLAS",
"state": "TX",
"postal_code": "752016519",
"telephone_number": "214-922-9711",
"fax_number": "214-922-9752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 E BROADWAY BLVD",
"address_2": "SUITE B-200",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857103534",
"telephone_number": "520-318-0700",
"fax_number": "520-318-0771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISTACARE USA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2008-03-10",
"status": "A",
"authorized_official_last_name": "ALLISON",
"authorized_official_first_name": "RODNEY",
"authorized_official_middle_name": "DIRK",
"authorized_official_title_or_position": "SR VP & CFO",
"authorized_official_telephone_number": "214-922-9711",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "AZ",
"license": "HSPC-1113",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "489452",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VistaCare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.