Active NPI
Advanced Comprehensive Palliative and Hospice LLC
- Community Based Hospice Care Agency
- Phoenix, AZ
National Provider Identifier
1356175103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ADVANCED COMPREHENSIVE PALLIATIVE AND HOSPICE LLC
- Practice address
- 11225 N 28TH Dr Ste D115
Phoenix, AZ 85029-5609 - Phone
- (708) 890-5980
- NPI assigned
- Aug 26, 2024
- Last updated
- Aug 26, 2024
- 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
- Stella Obinna
- Title
- Owner/President
- Phone
- (708) 890-5980
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
11225 N 28TH Dr Ste D115
Phoenix, AZ 85029-5609
Mailing address
11225 N 28TH Dr Ste D115
Phoenix, AZ 85029-5609
Phone (708) 890-5980
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 |
|---|---|---|---|
| 03D2330726 | Advanced Comprehensive Palliative and Hospice LLC | Certificate of waiver | Sep 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
11225 N 28th Dr
Ste D115
Phoenix, AZ 85029
Phone (708) 890-5980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724630400000",
"number": "1356175103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11225 N 28TH DR STE D115",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850295609",
"telephone_number": "708-890-5980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11225 N 28TH DR STE D115",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850295609",
"telephone_number": "708-890-5980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED COMPREHENSIVE PALLIATIVE AND HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-26",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A",
"authorized_official_last_name": "OBINNA",
"authorized_official_first_name": "STELLA",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "708-890-5980"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.