NPIMap

Organization Active NPI

Arizona Hospice Flagstaff, LLC

  • Community Based Hospice Care Agency
  • Yuma, AZ
National Provider Identifier
1831662402
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ARIZONA HOSPICE FLAGSTAFF, LLC
Practice address
670 E 32ND St Ste 9a
Yuma, AZ 85365-3576
Phone
(928) 420-8880
Fax
(954) 337-3112
NPI assigned
Jan 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Kristi Jackson
Title
Director of Clinical Services
Phone
(941) 257-4285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

670 E 32ND St Ste 9a
Yuma, AZ 85365-3576

Mailing address

885 Penniman Ave Unit 6426
Plymouth, MI 48170-7722
Phone (734) 560-8953

Other names 1

  • Haven Hospice Doing business as

National Provider Directory

National Provider Directory

Locations

670 E 32nd St
Ste 9A
Yuma, AZ 85365
Phone (928) 420-8880

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1831662402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 PENNIMAN AVE UNIT 6426",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481707722",
            "telephone_number": "734-560-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 E 32ND ST STE 9A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853653576",
            "telephone_number": "928-420-8880",
            "fax_number": "954-337-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA HOSPICE FLAGSTAFF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "941-257-4285"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Haven Hospice",
            "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 Dec 12, 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.