Active NPI
Rta Hospice, LLC
- Hospice and Palliative Medicine (Family Medicine) Physician
- Lake Havasu City, AZ
National Provider Identifier
1760148332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- Legal business name
- RTA HOSPICE, LLC
- Practice address
- 1940 Mesquite Ave Ste 1
Lake Havasu City, AZ 86403-6123 - Phone
- (928) 302-2251
- Fax
- (866) 955-8548
- NPI assigned
- Nov 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Russell Adkins
- Title
- SVP, Chief Legal Officer
- Phone
- (615) 309-5668
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | Primary | ||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1940 Mesquite Ave Ste 1
Lake Havasu City, AZ 86403-6123
Mailing address
10 Cadillac Dr Ste 400
Brentwood, TN 37027-1001
Phone (417) 841-4834
Other names 1
- Hospice Compassus - Bullhead City
National Provider Directory
National Provider DirectoryLocations
1940 Mesquite Ave
Ste 1
Lake Havasu City, AZ 86403
Phone (928) 302-2251
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Tyler, TX
- NPI 1649271677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636416000000",
"number": "1760148332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CADILLAC DR STE 400",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370271001",
"telephone_number": "417-841-4834",
"fax_number": "866-955-8538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 MESQUITE AVE STE 1",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864036123",
"telephone_number": "928-302-2251",
"fax_number": "866-955-8548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RTA HOSPICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-09",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A",
"authorized_official_last_name": "ADKINS",
"authorized_official_first_name": "RUSSELL",
"authorized_official_title_or_position": "SVP, CHIEF LEGAL OFFICER",
"authorized_official_telephone_number": "615-309-5668"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hospice Compassus - Bullhead City",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Havasu City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.