Organization Active NPI

Vistacare USA, Inc.

  • Community Based Hospice Care Agency
  • Tucson, AZ
National Provider Identifier
1043265473
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HSPC-1113 Issued in AZ
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

Updated by the provider on Mar 10, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
489452MedicaidAZ

Other names 1

  • VistaCare Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

Verify at the official NPI Registry.