Veteran Memorial Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VETERAN MEMORIAL HOSPICE LLC

Practice address

1050 E Southern Ave Ste No11
Tempe, AZ 85282-5403

Phone

(623) 565-3922

NPI assigned

Jan 15, 2025

Last updated

Jan 15, 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

Abdalla Mohamed Elkhalifa

Title

Administrator

Phone

(623) 565-3922

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1902617384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E SOUTHERN AVE STE NO11",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825403",
            "telephone_number": "623-565-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E SOUTHERN AVE STE NO11",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825403",
            "telephone_number": "623-565-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERAN MEMORIAL HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "ELKHALIFA",
        "authorized_official_first_name": "ABDALLA",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-565-3922"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Tempe, AZ
• Providers in Tempe, 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 Jan 15, 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.