Stone Creek Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

STONE CREEK HOSPICE LLC

Practice address

11811 N Tatum Blvd Ste 3031-50
Phoenix, AZ 85028-1614

Phone

(602) 734-4613

Fax

(602) 649-1263

NPI assigned

Jun 18, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Abraham Armen Abramian

Title

Member Managing

Phone

(602) 734-4613

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1407425077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 N TATUM BLVD STE 3031-50",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281614",
            "telephone_number": "602-734-4613",
            "fax_number": "602-649-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 N TATUM BLVD STE 3031-50",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281614",
            "telephone_number": "602-734-4613",
            "fax_number": "602-649-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE CREEK HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "ABRAMIAN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "ARMEN",
        "authorized_official_title_or_position": "MEMBER MANAGING",
        "authorized_official_telephone_number": "602-734-4613",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jun 18, 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.