East Valley Hospice P.L.C.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

EAST VALLEY HOSPICE P.L.C.

Practice address

2152 S Vineyard Ste 117
Mesa, AZ 85210-6881

Phone

(480) 895-5434

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kent Raymond Allen, M.D.NPI 1750341137

Title

Member

Phone

(480) 895-5434

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• LHCG Clxxi, LLC

  dba Casa de la Luz East Valley

  • Community Based Hospice Care Agency
  • Mesa, AZ
  • NPI 1881296911

  Sold to, 2020-12-31

  CMS change of ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kent R Allen, MD

  • Internal Medicine Physician
  • Chandler, AZ
  • NPI 1750341137
  NPD (past) Authorized official

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1114123387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 S VINEYARD STE 117",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106881",
            "telephone_number": "480-895-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 S VINEYARD STE 117",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106881",
            "telephone_number": "480-895-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY HOSPICE P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-12-14",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-895-5434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Valley Direct Primary Care LLC
• East Valley Endoscopy LLC
• East Valley Footcare PLLC
• East Valley Glaucoma Inc
• East Valley Hearing Center Inc
• East Valley Implant & Periodontal Center
• East Valley Implant and Periodontal PLLC
• East Valley Infectious Disease Medicine LLC
• East Valley Integrated Hospitalist PLLC
• East Valley Kidney Center, Inc.

• 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 Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.