Arizona Family Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

HSPC4911 Issued in AZ

Legal business name

ARIZONA FAMILY HOSPICE LLC

Practice address

291 S Main St
Suite G4
Yuma, AZ 85364-1414

Phone

(928) 276-4477

Fax

(928) 276-4481

NPI assigned

May 29, 2014

Last updated

May 29, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

ARIZONA FAMILY HOSPICE LLCAs reported in NPPES

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

Authorized official

Name

Fanel Tohatan

Title

Ceo

Phone

(480) 991-8200

Specialties & licenses 1

Addresses

Part of

Arizona Family Hospice LLC

Locations

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1750793469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10505 N 69TH ST",
            "address_2": "SUITE 300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852534532",
            "telephone_number": "480-991-8200",
            "fax_number": "480-443-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 S MAIN ST",
            "address_2": "SUITE G4",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853641414",
            "telephone_number": "928-276-4477",
            "fax_number": "928-276-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA FAMILY HOSPICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIZONA FAMILY HOSPICE LLC",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "TOHATAN",
        "authorized_official_first_name": "FANEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-991-8200"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": "HSPC4911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.