Organization Active NPI

Advanced Comprehensive Palliative and Hospice LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
National Provider Identifier
1356175103
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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)CodeLicenseStatePrimary
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 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
03D2330726Advanced Comprehensive Palliative and Hospice LLC11225 N 28TH Dr Ste B248, Phoenix, AZ 85029Certificate of waiverSep 21, 2027

National Provider Directory

National Provider Directory

Locations

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": []
}

Other providers in Phoenix, AZ

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.

Verify at the official NPI Registry.