Active NPI
River Hospice LLC
Doing business as River Hospice and Palliative Care
- Community Based Hospice Care Agency
- Mesa, AZ
National Provider Identifier
1275295057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- RIVER HOSPICE LLC
- Doing business as
- River Hospice and Palliative Care
- Practice address
- 2220 S Country Club Dr Ste 109
Mesa, AZ 85210-6808 - Phone
- (623) 328-9399
- NPI assigned
- Oct 9, 2021
- Last updated
- Feb 27, 2025
- 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
- Robert C Baysan, CO-OWNER
- Title
- Member/Manager
- Phone
- (623) 328-9399
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary | |
| Inpatient Hospice | 315D00000X | NU |
Addresses
Primary practice location
2220 S Country Club Dr Ste 109
Mesa, AZ 85210-6808
Mailing address
1930 S Alma School Rd Ste B201-B
Mesa, AZ 85210-3064
Phone (623) 328-9399
Other names 1
- River Hospice and Palliative Care
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2292074 | River Hospice LLC | Certificate of waiver | Oct 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
1930 S Alma School Rd
Ste B201B
Mesa, AZ 85210
2220 S Country Club Dr
Ste 109
Mesa, AZ 85210
Phone (623) 328-9399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740614400000",
"number": "1275295057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 S ALMA SCHOOL RD STE B201-B",
"city": "MESA",
"state": "AZ",
"postal_code": "852103064",
"telephone_number": "623-328-9399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 S COUNTRY CLUB DR STE 109",
"city": "MESA",
"state": "AZ",
"postal_code": "852106808",
"telephone_number": "623-328-9399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-09",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A",
"authorized_official_last_name": "BAYSAN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MEMBER/MANAGER",
"authorized_official_telephone_number": "623-328-9399",
"authorized_official_credential": "CO-OWNER"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "315D00000X",
"taxonomy_group": "",
"desc": "Hospice, Inpatient",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "River Hospice and Palliative Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "River Hospice and Palliative Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.