Active NPI
Hospice of the Southwest LLC
- Community Based Hospice Care Agency
- Mesa, AZ
National Provider Identifier
1568569846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- HSPC3648
- Legal business name
- HOSPICE OF THE SOUTHWEST LLC
- Practice address
- 450 N. Dobson Road
Suite 108
Mesa, AZ 85201 - Phone
- (480) 456-9300
- Fax
- (480) 456-9696
- NPI assigned
- Sep 20, 2006
- 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
- Mr. Richard Bass
- Title
- Chief Financial Officer
- Phone
- (480) 456-9300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | HSPC3648 | AZ | Primary |
Addresses
Primary practice location
450 N. Dobson Road
Suite 108
Mesa, AZ 85201
Mailing address
450 North Dobson Road
Suite 108
Mesa, AZ 85201
Phone (480) 456-9300
National Provider Directory
National Provider DirectoryLocations
450 N Dobson Rd
Ste 108
Mesa, AZ 85201
Phone (480) 305-5132
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- Mesa, AZ
- NPI 1104889294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184889600000",
"number": "1568569846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 NORTH DOBSON ROAD",
"address_2": "SUITE 108",
"city": "MESA",
"state": "AZ",
"postal_code": "85201",
"telephone_number": "480-456-9300",
"fax_number": "480-456-9696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 N. DOBSON ROAD",
"address_2": "SUITE 108",
"city": "MESA",
"state": "AZ",
"postal_code": "85201",
"telephone_number": "480-456-9300",
"fax_number": "480-456-9696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE OF THE SOUTHWEST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-20",
"status": "A",
"authorized_official_last_name": "BASS",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "480-456-9300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "AZ",
"license": "HSPC3648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.