Active NPI
Assisteo North Palliative Care, LLC
- Community Based Hospice Care Agency
- Prescott, AZ
National Provider Identifier
1871132522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.