Prime Care Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

HSPC4331 Issued in AZ

Legal business name

PRIME CARE HOSPICE, LLC

Doing business as

Prime Hospice

Practice address

4225 W Glendale Ave Ste A200
Phoenix, AZ 85051

Phone

(623) 847-2323

Fax

(602) 934-5603

NPI assigned

Jan 17, 2008

Last updated

Nov 18, 2019By 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

Satwant K Bhowra

Title

Cfo

Phone

(602) 550-4065

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prime Hospice Doing business as

Locations

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1770769978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47090",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850687090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 W GLENDALE AVE STE A200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85051",
            "telephone_number": "623-847-2323",
            "fax_number": "602-934-5603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4858 E Baseline Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064638",
            "country_code": "US",
            "telephone_number": "623-847-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIME CARE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "BHOWRA",
        "authorized_official_first_name": "SATWANT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "602-550-4065"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": "HSPC4331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433523",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.