State 48 Hospice of Yuma LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

STATE 48 HOSPICE OF YUMA LLC

Practice address

360 W 20TH St Ste B
Yuma, AZ 85364-5637

Phone

(928) 257-3004

NPI assigned

Feb 14, 2025

Last updated

Feb 14, 2025By 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

Mohammed Ahmed

Title

Manager

Phone

(702) 445-1354

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1831994821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W 20TH ST STE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853645637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W 20TH ST STE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853645637",
            "telephone_number": "928-257-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE 48 HOSPICE OF YUMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-445-1354"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Eugene Standridge, M.D.
• Stanton J Cohen DPM PC (Yuma Podiatry Associates)
• Starfighter, LLC.
• Courtney Jayne Starkey, M.ED, LPC
• State 48 Home Health of Yuma LLC
• State of Arizona/State Dept of Finance (Arizona State Veteran Home Yuma)
• Statewide Express Inc
• Stephen a. Wallace, M.D., P.C.
• Stephen D Cummings CH
• Stepping Stones Care BC LLC

• Community Based Hospice Care Agency in Yuma, AZ
• Providers in Yuma, 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 Feb 14, 2025; 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.