Desert Haven Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DESERT HAVEN HOSPICE LLC

Practice address

7150 E Camelback Rd Ste 442
Scottsdale, AZ 85251-1257

Phone

(480) 805-5821

Fax

(480) 805-5156

NPI assigned

Jul 27, 2023

Last updated

Aug 3, 2023By 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

Dante Bautista

Title

Authorized Official

Phone

(909) 641-3016

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1790466191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 E CAMELBACK RD STE 442",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852511257",
            "telephone_number": "480-805-5821",
            "fax_number": "480-805-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 E CAMELBACK RD STE 442",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852511257",
            "telephone_number": "480-805-5821",
            "fax_number": "480-805-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT HAVEN HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "DANTE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "909-641-3016"
    },
    "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 Aug 3, 2023; 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.