Organization Active NPI

Lavender Palliative Care

  • In Home Supportive Care Agency
  • Phoenix, AZ
National Provider Identifier
1104622950
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Locations

2025 N 3rd St
Ste 180
Phoenix, AZ 85004
Phone (602) 283-3663

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.

Verify at the official NPI Registry.