Organization Active NPI

Hospice of the Southwest - West Valley, LLC

  • Pain Medicine Physician
  • Tucson, AZ
National Provider Identifier
1235489147
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
HOSPICE OF THE SOUTHWEST - WEST VALLEY, LLC
Practice address
5055 E Broadway Blvd
Ste D-205
Tucson, AZ 85711-3625
Phone
(520) 230-4450
Fax
(520) 230-4451
NPI assigned
Sep 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Richard E Bass
Title
Managing Partner
Phone
(602) 717-4751

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

5055 E Broadway Blvd
Ste D-205
Tucson, AZ 85711-3625

Mailing address

5055 E Broadway Blvd
Ste D-205
Tucson, AZ 85711-3625
Phone (520) 230-4450

Other names 1

  • Tucson Community Palliative Care Doing business as

National Provider Directory

National Provider Directory

Locations

17235 N 75th Ave
Ste D145
Glendale, AZ 85308
Phone (480) 456-9300

2050 Willow Creek Rd
Prescott, AZ 86301
Phone (623) 202-2521

5055 E Broadway Blvd
Ste D205
Tucson, AZ 85711
Phone (520) 230-4450

5055 E Broadway Blvd
#D20
Tucson, AZ 85711
Phone (520) 230-4460

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1235489147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 E BROADWAY BLVD",
            "address_2": "STE D-205",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113625",
            "telephone_number": "520-230-4450",
            "fax_number": "520-230-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 E BROADWAY BLVD",
            "address_2": "STE D-205",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113625",
            "telephone_number": "520-230-4450",
            "fax_number": "520-230-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF THE SOUTHWEST - WEST VALLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "602-717-4751"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tucson Community Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.