Amha Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AMHA HOSPICE LLC

Practice address

2577 W Queen Creek Rd Ste 200a
Chandler, AZ 85248-0913

Phone

(480) 359-3998

Fax

(480) 385-6785

NPI assigned

Jan 16, 2014

Last updated

Oct 20, 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

Mai Shannon

Title

Ceo

Phone

(480) 359-3998

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1912329533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 W QUEEN CREEK RD STE 200A",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852480913",
            "telephone_number": "480-359-3998",
            "fax_number": "480-385-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 W QUEEN CREEK RD STE 200A",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852480913",
            "telephone_number": "480-359-3998",
            "fax_number": "480-385-6785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8840 E Chaparral Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "85250",
            "country_code": "US",
            "telephone_number": "480-359-3998",
            "fax_number": "480-385-6785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMHA HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "MAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-359-3998"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DEPARTMENT OF HEALTH",
            "identifier": "HSPC6237",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032584",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.