Bethell Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BETHELL HOSPICE, LLC

Practice address

1209 N. Country Club Dr.
Ste. 2
Mesa, AZ 85201

Phone

(623) 256-8098

Fax

(888) 509-0063

NPI assigned

Jul 8, 2020

Organization subpart

No

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

Authorized official

Name

Adriana Poclitar, RN

Title

Administrator

Phone

(623) 256-8098

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1447878285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 N. COUNTRY CLUB DR.",
            "address_2": "STE. 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85201",
            "telephone_number": "623-256-8098",
            "fax_number": "888-509-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N. COUNTRY CLUB DR.",
            "address_2": "STE. 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85201",
            "telephone_number": "623-256-8098",
            "fax_number": "888-509-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHELL HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "POCLITAR",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-256-8098",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.