Organization Active NPI

Premier Hospice and Palliative Care, LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
National Provider Identifier
1609944669
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HSPC4076 Issued in AZ
Legal business name
PREMIER HOSPICE AND PALLIATIVE CARE, LLC
Practice address
3550 N Central Ave Ste 1200
Phoenix, AZ 85012-2111
Phone
(602) 274-7572
Fax
(602) 274-5465
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
David Kosloff
Title
Cfo
Phone
(206) 576-0087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HSPC4076 AZ Primary

Addresses

Primary practice location

3550 N Central Ave Ste 1200
Phoenix, AZ 85012-2111

Mailing address

3550 N Central Ave Ste 1200
Phoenix, AZ 85012-2111
Phone (602) 274-7572

Other practice location 1

4530 East Shea Boulevard
Suite 165
Phoenix, AZ 85028-6042
Phone (602) 274-7572

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3737 N 7th St
Ste 203
Phoenix, AZ 85014
Phone (602) 274-7572

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1609944669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 N CENTRAL AVE STE 1200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122111",
            "telephone_number": "602-274-7572",
            "fax_number": "602-274-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 N CENTRAL AVE STE 1200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122111",
            "telephone_number": "602-274-7572",
            "fax_number": "602-274-5465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4530 East Shea Boulevard",
            "address_2": "Suite 165",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850286042",
            "country_code": "US",
            "telephone_number": "602-274-7572",
            "fax_number": "602-274-5465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER HOSPICE AND PALLIATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "KOSLOFF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "206-576-0087"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": "HSPC4076",
            "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 Jan 17, 2018; 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.