Organization Active NPI

River Hospice LLC

Doing business as River Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Mesa, AZ
National Provider Identifier
1275295057
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2292074River Hospice LLC2220 S Country Club Dr, Ste 109, Mesa, AZ 85210Certificate of waiverOct 18, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.