Active NPI
Rta Hospice, LLC
- Hospice and Palliative Medicine (Family Medicine) Physician
- Yuma, AZ
National Provider Identifier
1831655760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- Legal business name
- RTA HOSPICE, LLC
- Practice address
- 1025 W 24TH St Ste 15
Yuma, AZ 85364-8373 - Phone
- (928) 344-6100
- Fax
- (928) 317-0311
- NPI assigned
- Feb 15, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Russell Adkins
- Title
- SVP General Counsel
- Phone
- (615) 309-5668
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | Primary | ||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1025 W 24TH St Ste 15
Yuma, AZ 85364-8373
Mailing address
10 Cadillac Dr Ste 400
Brentwood, TN 37027-1001
Phone (615) 377-7022
Other names 1
- Hospice Compassus - Yuma
National Provider Directory
National Provider DirectoryLocations
1025 W 24th St
Ste 15
Yuma, AZ 85364
Phone (928) 344-6100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583971200000",
"number": "1831655760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CADILLAC DR STE 400",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370271001",
"telephone_number": "615-377-7022",
"fax_number": "615-373-4457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 W 24TH ST STE 15",
"city": "YUMA",
"state": "AZ",
"postal_code": "853648373",
"telephone_number": "928-344-6100",
"fax_number": "928-317-0311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RTA HOSPICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-15",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A",
"authorized_official_last_name": "ADKINS",
"authorized_official_first_name": "RUSSELL",
"authorized_official_title_or_position": "SVP GENERAL COUNSEL",
"authorized_official_telephone_number": "615-309-5668"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hospice Compassus - Yuma",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.