Organization Active NPI

A Servant'S Heart Palliative and Nursing, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Scottsdale, AZ
National Provider Identifier
1831584127
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
A SERVANT'S HEART PALLIATIVE AND NURSING, LLC
Practice address
6380 E Thomas Rd Ste 105
Scottsdale, AZ 85251-7073
Phone
(480) 771-3400
Fax
(480) 304-3155
NPI assigned
Apr 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Valerie Kenworthy
Title
Regional Vice Presiden
Phone
(480) 771-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X Primary

Addresses

Primary practice location

6380 E Thomas Rd Ste 105
Scottsdale, AZ 85251-7073

Mailing address

6380 E Thomas Rd Ste 105
Scottsdale, AZ 85251-7073
Phone (480) 771-3400

Other practice location 1

5111 N Scottsdale Rd Ste 203
Scottsdale, AZ 85250-7077
Phone (480) 777-5117

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2096240A Servant'S Heart Palliative and Nursing, LLC5111 N Scottsdale Rd, Ste 203, Scottsdale, AZ 85250Certificate of waiverMay 18, 2027

National Provider Directory

National Provider Directory

Locations

6380 E Thomas Rd
Ste 105
Scottsdale, AZ 85251
Phone (480) 607-0606

6380 E Thomas Rd
#105
Scottsdale, AZ 85251
Phone (480) 771-3400

5111 N Scottsdale Rd
Ste 155
Scottsdale, AZ 85250
Phone (480) 777-5117

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1831584127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6380 E THOMAS RD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517073",
            "telephone_number": "480-771-3400",
            "fax_number": "480-304-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6380 E THOMAS RD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517073",
            "telephone_number": "480-771-3400",
            "fax_number": "480-304-3155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5111 N Scottsdale Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852507077",
            "country_code": "US",
            "telephone_number": "480-777-5117",
            "fax_number": "480-304-3155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A SERVANT'S HEART PALLIATIVE AND NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "KENWORTHY",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "REGIONAL VICE PRESIDEN",
        "authorized_official_telephone_number": "480-771-3400"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.