Pro Life Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PRO LIFE HOSPICE CARE INC

Practice address

4150 W Peoria Ave Ste B113G
Phoenix, AZ 85029-3900

Phone

(480) 674-0595

NPI assigned

Dec 30, 2021

Last updated

Dec 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Varduhi Boshyan

Title

Ceo

Phone

(480) 674-0595

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1295496321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 W PEORIA AVE STE B113G",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293900",
            "telephone_number": "480-674-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 W PEORIA AVE STE B113G",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293900",
            "telephone_number": "480-674-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO LIFE HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "BOSHYAN",
        "authorized_official_first_name": "VARDUHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-674-0595"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pro Surge LLC
• Pro Team Health and Wellness, LLC
• Pro Tech Iom LLC
• Proactive Health

• Community Based Hospice Care Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.