Traditions Hospice of Arizona I, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

HSPC7001 Issued in AZ

Legal business name

TRADITIONS HOSPICE OF ARIZONA I, LLC

Practice address

615 W Cottonwood LN Ste 8
Casa Grande, AZ 85122-2250

Phone

(520) 729-1344

Fax

(520) 723-4691

NPI assigned

Feb 11, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Anthony A Blakeney

Title

Cfo

Phone

(979) 704-6547

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Traditions Health Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khalid M Shirif, M.D.

  • Hospice and Palliative Medicine (Surgery) Physician
  • Gilbert, AZ
  • NPI 1407927130
  NPD (past)

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1619368602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 4TH AVE N STE 2300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192466",
            "telephone_number": "979-704-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W COTTONWOOD LN STE 8",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222250",
            "telephone_number": "520-729-1344",
            "fax_number": "520-723-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADITIONS HOSPICE OF ARIZONA I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "BLAKENEY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "979-704-6547",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": "HSPC7001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134201",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZDHS LICENCE",
            "identifier": "HSPC7001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Traditions Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Casa Grande, AZ
• Providers in Casa Grande, 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 Sep 18, 2023; 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.