Organization Active NPI

Valor Hospicecare LLC

  • Community Based Hospice Care Agency
  • Sierra Vista, AZ
National Provider Identifier
1164611323
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HSPC3739 Issued in AZ
Legal business name
VALOR HOSPICECARE LLC
Practice address
1048 E Fry Blvd
Suite E
Sierra Vista, AZ 85635-1839
Phone
(520) 458-9450
Fax
(520) 458-9455
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Mrs. Natasha Rowe
Title
Vice President
Phone
(520) 615-3996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HSPC3739 AZ Primary

Addresses

Primary practice location

1048 E Fry Blvd
Suite E
Sierra Vista, AZ 85635-1839

Mailing address

1860 E River Rd
Suite 200
Tucson, AZ 85718-5993
Phone (520) 615-3996

Other identifiers 1

IdentifierTypeStateIssuer
965022MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

1860 E River Rd
Ste 200
Tucson, AZ 85718
Phone (520) 615-3996

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Sep 1, 2023 Change of OwnershipThis provider was the seller Valor HospiceCCN 031586, AZ, NPI 1447931134

Change of ownership 1

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

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1164611323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 E RIVER RD",
            "address_2": "SUITE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185993",
            "telephone_number": "520-615-3996",
            "fax_number": "520-615-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 E FRY BLVD",
            "address_2": "SUITE E",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351839",
            "telephone_number": "520-458-9450",
            "fax_number": "520-458-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALOR HOSPICECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "520-615-3996",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": "HSPC3739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "965022",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.