Angel Star Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ANGEL STAR HOSPICE INC

Practice address

13201 N 35TH Ave Ste B16-2
Phoenix, AZ 85029-1222

Phone

(480) 867-5400

Fax

(928) 538-3064

NPI assigned

Apr 6, 2022

Last updated

Apr 6, 2022By 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

Arnel Fernandez

Title

Ceo

Phone

(480) 867-5400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1548901077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13201 N 35TH AVE STE B16-2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850291222",
            "telephone_number": "480-867-5400",
            "fax_number": "928-538-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 N 35TH AVE STE B16-2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850291222",
            "telephone_number": "480-867-5400",
            "fax_number": "928-538-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL STAR HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ARNEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-867-5400"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "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 Apr 6, 2022; 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.