NPIMap

Organization Active NPI

VCG Arizona LLC

  • Community Based Hospice Care Agency
  • Safford, AZ
National Provider Identifier
1093495855
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
VCG ARIZONA LLC
Practice address
1280 S 20TH Ave Ste B2
Safford, AZ 85546-3378
Phone
(903) 787-7609
NPI assigned
Jul 18, 2023
Last updated
Jul 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Chris Walker
Title
Chief Operating Officer
Phone
(214) 491-0041

Specialties & licenses 1

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

Addresses

Primary practice location

1280 S 20TH Ave Ste B2
Safford, AZ 85546-3378

Mailing address

8150 N Central Expy Ste 1800
Dallas, TX 75206-1883
Phone (903) 787-7609

Other identifiers 1

IdentifierTypeStateIssuer
HSPC10990OtherAZSTATE OF ARIZONA LICENSE

National Provider Directory

National Provider Directory
Tax ID family
VCG Arizona LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1280 S 20th Ave
Ste B2
Safford, AZ 85546

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1093495855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 N CENTRAL EXPY STE 1800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061883",
            "telephone_number": "903-787-7609",
            "fax_number": "903-871-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 S 20TH AVE STE B2",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855463378",
            "telephone_number": "903-787-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCG ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "214-491-0041"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ARIZONA LICENSE",
            "identifier": "HSPC10990",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Safford, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.