Organization Active NPI

Cornerstone Hospice Inc

  • Community Based Hospice Care Agency
  • Phoenix, AZ
National Provider Identifier
1043988553
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CORNERSTONE HOSPICE INC
Practice address
4600 E Washington St Ste 300-374
Phoenix, AZ 85034-1903
Phone
(480) 666-3964
Fax
(480) 885-2592
NPI assigned
Aug 31, 2021
Last updated
Aug 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dante Bautista
Title
Owner/Ceo
Phone
(480) 666-3964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

4600 E Washington St Ste 300-374
Phoenix, AZ 85034-1903

Mailing address

4600 E Washington St Ste 300-374
Phoenix, AZ 85034-1903
Phone (480) 666-3964

National Provider Directory

National Provider Directory

Locations

4600 E Washington St
Ste 300374
Phoenix, AZ 85034
Phone (480) 666-3964

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1043988553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 E WASHINGTON ST STE 300-374",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850341903",
            "telephone_number": "480-666-3964",
            "fax_number": "480-885-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 E WASHINGTON ST STE 300-374",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850341903",
            "telephone_number": "480-666-3964",
            "fax_number": "480-885-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "DANTE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "480-666-3964"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "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 Aug 31, 2021; 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.