Active NPI
Rta Hospice, LLC
Doing business as Hospice Compassus - Bullhead City
- Hospice and Palliative Medicine (Family Medicine) Physician
- Bullhead City, AZ
National Provider Identifier
1114683778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- Legal business name
- RTA HOSPICE, LLC
- Doing business as
- Hospice Compassus - Bullhead City
- Practice address
- 2755 Silver Creek Rd Ste 211
Bullhead City, AZ 86442-8347 - Phone
- (928) 763-6433
- Fax
- (928) 763-6437
- NPI assigned
- Nov 9, 2021
- Last updated
- Nov 9, 2021
- 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
- Russell Adkins
- Title
- SVP, Chief Legal Officer
- Phone
- (615) 309-5668
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | ||
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | NU | Primary | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | NU |
Addresses
Primary practice location
2755 Silver Creek Rd Ste 211
Bullhead City, AZ 86442-8347
Mailing address
10 Cadillac Dr Ste 400
Brentwood, TN 37027-1001
Phone (417) 841-4834
Other names 1
- Hospice Compassus - Bullhead City
National Provider Directory
National Provider DirectoryLocations
2755 Silver Creek Rd
Ste 211
Bullhead City, AZ 86442
Phone (928) 201-5392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636416000000",
"number": "1114683778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CADILLAC DR STE 400",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370271001",
"telephone_number": "417-841-4834",
"fax_number": "866-955-8538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2755 SILVER CREEK RD STE 211",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864428347",
"telephone_number": "928-763-6433",
"fax_number": "928-763-6437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RTA HOSPICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-09",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A",
"authorized_official_last_name": "ADKINS",
"authorized_official_first_name": "RUSSELL",
"authorized_official_title_or_position": "SVP, CHIEF LEGAL OFFICER",
"authorized_official_telephone_number": "615-309-5668"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hospice Compassus - Bullhead City",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.