Arizona Desert Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ARIZONA DESERT HOSPICE LLC

Practice address

2266 S Dobson Rd Ste 238
Mesa, AZ 85202-6488

Phone

(480) 805-5508

Fax

(480) 805-8228

NPI assigned

Jul 27, 2023

Last updated

Jul 27, 2023By 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

Fernando De la Cruz

Title

Owner

Phone

(480) 805-5508

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1881375202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 S DOBSON RD STE 238",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026488",
            "telephone_number": "480-805-5508",
            "fax_number": "480-805-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 S DOBSON RD STE 238",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026488",
            "telephone_number": "480-805-5508",
            "fax_number": "480-805-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA DESERT HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-805-5508"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.