Organization Active NPI

Anthem South LLC

  • Community Based Hospice Care Agency
  • Mesa, AZ
National Provider Identifier
1679441455
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ANTHEM SOUTH LLC
Practice address
1840 E University Dr Ste 8
Mesa, AZ 85203-8237
Phone
(602) 344-9508
Fax
(602) 932-8868
NPI assigned
Oct 24, 2025
Last updated
Oct 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Mr. Robert Dale Lafler Jr.
Title
Compliance Officer
Phone
(602) 677-1471

Specialties & licenses 1

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

Addresses

Primary practice location

1840 E University Dr Ste 8
Mesa, AZ 85203-8237

Mailing address

1840 E University Dr Ste 8
Mesa, AZ 85203-8237
Phone (602) 344-9508

National Provider Directory

National Provider Directory

Locations

1840 E University Dr
Ste 8
Mesa, AZ 85203
Phone (602) 344-9508

NPI Registry JSON

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1679441455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 E UNIVERSITY DR STE 8",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038237",
            "telephone_number": "602-344-9508",
            "fax_number": "602-932-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 E UNIVERSITY DR STE 8",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038237",
            "telephone_number": "602-344-9508",
            "fax_number": "602-932-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHEM SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "LAFLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "602-677-1471",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "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 Oct 24, 2025; 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.