NPIMap

Organization Active NPI

Phoenician Hospice LLC

  • Community Based Hospice Care Agency
  • Scottsdale, AZ
National Provider Identifier
1730624461
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PHOENICIAN HOSPICE LLC
Practice address
5111 N Scottsdale Rd Ste 204
Scottsdale, AZ 85250-7077
Phone
(480) 887-8993
Fax
(480) 887-8994
NPI assigned
Jan 4, 2017
Last updated
Jun 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Authorized official

Name
Mr. Scott M. Johnson
Title
Vice-President
Phone
(617) 262-8455

Specialties & licenses 1

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

Addresses

Primary practice location

5111 N Scottsdale Rd Ste 204
Scottsdale, AZ 85250-7077

Mailing address

5111 N Scottsdale Rd Ste 204
Scottsdale, AZ 85250-7077
Phone (480) 887-8993

Other names 1

  • Phoenician Hospice PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

11000 N Scottsdale Rd
#145
Scottsdale, AZ 85254
Phone (480) 607-0606

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1730624461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 N SCOTTSDALE RD STE 204",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507077",
            "telephone_number": "480-887-8993",
            "fax_number": "480-887-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 N SCOTTSDALE RD STE 204",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507077",
            "telephone_number": "480-887-8993",
            "fax_number": "480-887-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENICIAN HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "617-262-8455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenician Hospice PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 29, 2020; 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.