Active NPI
Hospice of the Southwest - West Valley, LLC
- Pain Medicine Physician
- Tucson, AZ
National Provider Identifier
1235489147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Pain Medicine Physician | 208VP0000X | Primary | ||
| Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Tucson, AZ
- NPI 1659681682
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1023828159
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
- Richard A Hoshaw, M.D.
- Katherine T. Hoskinson, ED.S.
- Hospice Family Care, Inc.
- Hospice Family Care, Inc.
- Hospice in the Desert LLC
- Hospice of the Valley
- Hospice of Tucson Inc
- Hospitalist Medicine Physicians of Arizona - Nogales
- Hospitalist Medicine Physicians of Arizona - Tucson, Inc.
- Hospitalists of Arizona, LLC
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.