Empress Care Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

EMPRESS CARE HOSPICE, INC.

Practice address

2920 E Northern Ave Ste 100-9
Phoenix, AZ 85028-4818

Phone

(602) 609-2711

Fax

(602) 609-2712

NPI assigned

Mar 9, 2021

Last updated

Mar 27, 2021By 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

Mr. Dante Bautista

Title

Ceo

Phone

(602) 609-2711

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616803200000",
    "number": "1790360964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 E NORTHERN AVE STE 100-9",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284818",
            "telephone_number": "602-609-2711",
            "fax_number": "602-609-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 E NORTHERN AVE STE 100-9",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284818",
            "telephone_number": "602-609-2711",
            "fax_number": "602-609-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPRESS CARE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "DANTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-609-2711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.GMAIL.COM",
            "affiliation": "N",
            "address_1": "2920 E Northern Ave Ste 100-9",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850284818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.GMAIL.COM",
            "affiliation": "N",
            "address_1": "14631 N Cave Creek Rd Ste 104C",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850224100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community Based Hospice Care Agency in Phoenix, AZ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.

Verify at the official NPI Registry.