Avesta Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AVESTA HOSPICE INC

Practice address

312 N Alma School Rd Ste 14K
Chandler, AZ 85224-4354

Phone

(602) 820-8168

Fax

(602) 753-9968

NPI assigned

Aug 24, 2021

Last updated

Jan 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kirk Kellogg Erickson

Title

Owner

Phone

(925) 350-9961

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641081600000",
    "number": "1770250102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N ALMA SCHOOL RD STE 14K",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244354",
            "telephone_number": "602-820-8168",
            "fax_number": "602-753-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N ALMA SCHOOL RD STE 14K",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244354",
            "telephone_number": "602-820-8168",
            "fax_number": "602-753-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVESTA HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "KELLOGG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-350-9961",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "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 Jan 2, 2022; 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.