Active NPI
Lavender Palliative Care
- In Home Supportive Care Agency
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- LAVENDER PALLIATIVE CARE
- Practice address
- 2025 N 3Rd St Ste 180
Phoenix, AZ 85004-1483 - Phone
- (602) 283-3663
- Fax
- (602) 283-3682
- NPI assigned
- Feb 21, 2025
- Last updated
- Mar 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roselavender Agatha Richards, MD
- Title
- Ceo
- Phone
- (602) 283-3663
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
2025 N 3Rd St Ste 180
Phoenix, AZ 85004-1483
Mailing address
2025 N 3Rd St Ste 180
Phoenix, AZ 85004-1483
Phone (602) 283-3663
Other names 1
- Lavender Palliative Care
National Provider Directory
National Provider DirectoryLocations
2025 N 3rd St
Ste 180
Phoenix, AZ 85004
Phone (602) 283-3663
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1417934902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741046400000",
"number": "1104622950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 N 3RD ST STE 180",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041483",
"telephone_number": "602-283-3663",
"fax_number": "602-283-3682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 N 3RD ST STE 180",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041483",
"telephone_number": "602-283-3663",
"fax_number": "602-283-3682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAVENDER PALLIATIVE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-21",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A",
"authorized_official_last_name": "RICHARDS",
"authorized_official_first_name": "ROSELAVENDER",
"authorized_official_middle_name": "AGATHA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-283-3663",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lavender Palliative Care",
"code": "5",
"type": "Other Name"
}
]
}
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 Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.