Organization Active NPI

Assisteo North Palliative Care, LLC

  • Community Based Hospice Care Agency
  • Prescott, AZ
National Provider Identifier
1871132522
Registry record updated Dec 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ASSISTEO NORTH PALLIATIVE CARE, LLC
Practice address
122 N Cortez St Ste 304
Prescott, AZ 86301-3024
Phone
(602) 820-8094
NPI assigned
Dec 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2019

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

Authorized official

Name
Teri Ellerbe
Title
Administrator
Phone
(602) 820-8094

Specialties & licenses 1

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

Addresses

Primary practice location

122 N Cortez St Ste 304
Prescott, AZ 86301-3024

Mailing address

122 N Cortez St Ste 304
Prescott, AZ 86301-3024

National Provider Directory

National Provider Directory

Locations

122 N Cortez St
Ste 304
Prescott, AZ 86301
Phone (602) 820-8094

NPI Registry JSON

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

{
    "created_epoch": "1577577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577577600000",
    "number": "1871132522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N CORTEZ ST STE 304",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N CORTEZ ST STE 304",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013024",
            "telephone_number": "602-820-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTEO NORTH PALLIATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-29",
        "last_updated": "2019-12-29",
        "certification_date": "2019-12-29",
        "status": "A",
        "authorized_official_last_name": "ELLERBE",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-820-8094"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2019; 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.