West Palm Valley Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

WEST PALM VALLEY HOSPICE LLC

Practice address

1825 E Northern Ave Ste 105
Phoenix, AZ 85020-3953

Phone

(480) 645-9640

Fax

(480) 645-9641

NPI assigned

Sep 22, 2022

Last updated

Oct 3, 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

Brandon Renner Sr., RN

Title

Executive Director

Phone

(480) 620-8852

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1811610900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 E NORTHERN AVE STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203953",
            "telephone_number": "480-645-9640",
            "fax_number": "480-645-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 E NORTHERN AVE STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203953",
            "telephone_number": "480-645-9640",
            "fax_number": "480-645-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PALM VALLEY HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "RENNER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "480-620-8852",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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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 Oct 3, 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.