Organization Active NPI

Desert Rose Hospice Care LLC

  • Community Based Hospice Care Agency
  • Scottsdale, AZ
National Provider Identifier
1619529427
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
DESERT ROSE HOSPICE CARE LLC
Practice address
8399 E Indian School Rd Ste 102
Scottsdale, AZ 85251-2867
Phone
(602) 885-6749
NPI assigned
Jul 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Authorized official

Name
Czeick Ragay Maravillas, RN, BSN
Title
Administrator
Phone
(480) 687-9105

Specialties & licenses 1

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

Addresses

Primary practice location

8399 E Indian School Rd Ste 102
Scottsdale, AZ 85251-2867

Mailing address

8399 E Indian School Rd Ste 102
Scottsdale, AZ 85251-2867
Phone (602) 885-6749

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL scottsdale Direct
CONNECT URL Scottsdale Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

8399 E Indian School Rd
Ste 102
Scottsdale, AZ 85251
Phone (602) 885-6749

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1619529427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8399 E INDIAN SCHOOL RD STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512867",
            "telephone_number": "602-885-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8399 E INDIAN SCHOOL RD STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512867",
            "telephone_number": "602-885-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT ROSE HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "MARAVILLAS",
        "authorized_official_first_name": "CZEICK",
        "authorized_official_middle_name": "RAGAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-687-9105",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "scottsdale",
            "affiliation": "N",
            "endpointDescription": "Office computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "scottsdale",
            "address_1": "8399 E Indian School Rd Ste 102",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852512867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Scottsdale",
            "affiliation": "N",
            "endpointDescription": "Main office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8399 E Indian School Rd Ste 102",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852512867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.