Cardinal Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CARDINAL HOSPICE LLC

Practice address

3055 N Red MTN Unit 188
Mesa, AZ 85207-1065

Phone

(602) 339-5461

NPI assigned

Jan 26, 2021

Last updated

Jan 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Vance

Title

Partner

Phone

(602) 339-5461

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1073103784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 N RED MTN UNIT 188",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852071065",
            "telephone_number": "602-339-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 N RED MTN UNIT 188",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852071065",
            "telephone_number": "602-339-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "602-339-5461"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.