Organization Active NPI

Az Superior Hospice Care, LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
National Provider Identifier
1083279103
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AZ SUPERIOR HOSPICE CARE, LLC
Practice address
6013 S 47TH St
Phoenix, AZ 85042-5312
Phone
(480) 823-8848
NPI assigned
May 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Authorized official

Name
Rowena Erickson, JD
Title
Administrator
Phone
(602) 733-3717

Specialties & licenses 1

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

Addresses

Primary practice location

6013 S 47TH St
Phoenix, AZ 85042-5312

Mailing address

6013 S 47TH St
Phoenix, AZ 85042-5312

National Provider Directory

National Provider Directory

Locations

2659 W Guadalupe Rd
Ste D105
Mesa, AZ 85202
Phone (480) 823-8848

1616 E Main St
Ste 239E
Mesa, AZ 85203
Phone (480) 999-0188

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": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1083279103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6013 S 47TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6013 S 47TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425312",
            "telephone_number": "480-823-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ SUPERIOR HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "ROWENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-733-3717",
        "authorized_official_credential": "JD"
    },
    "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 May 3, 2019; 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.