Acacia Hospice Care of Lake Havasu Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ACACIA HOSPICE CARE OF LAKE HAVASU INC

Practice address

1930 Mesquite Ave Ste 9
Lake Havasu City, AZ 86403-5772

Phone

(928) 919-8342

NPI assigned

May 14, 2021

Last updated

May 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Silvia Garcia

Title

Ceo

Phone

(928) 919-8342

Specialties & licenses 1

Addresses

Listed as

Acacia Hospice Care of Lake Havasu IncCCN 001529

Certified

Feb 25, 2022

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1144894189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 MESQUITE AVE STE 9",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MESQUITE AVE STE 9",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035772",
            "telephone_number": "928-919-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACACIA HOSPICE CARE OF LAKE HAVASU INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "SILVIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-919-8342"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Lake Havasu City, AZ
• Providers in Lake Havasu City, 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 May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.