Organization Active NPI

Shapc LLC

  • Community Based Hospice Care Agency
  • Glendale, AZ
National Provider Identifier
1912969387
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HSPC3731 Issued in AZ
Legal business name
SHAPC LLC
Practice address
10150 W Desert River Blvd Ste a-110
Glendale, AZ 85307-3008
Phone
(602) 216-2273
Fax
(602) 443-5398
NPI assigned
Apr 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Kenneth E Norris
Title
Managing Partner
Phone
(801) 485-6166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HSPC3731 AZ Primary

Addresses

Primary practice location

10150 W Desert River Blvd Ste a-110
Glendale, AZ 85307-3008

Mailing address

450 S 900 E Ste 100
Salt Lake City, UT 84102-2983
Phone (801) 485-6166

Other names 1

  • Canyon Home Care & Hospice Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2999 N 44th St
Ste 225
Phoenix, AZ 85018
Phone (602) 216-2273

7227 N 16th St
Ste 235
Phoenix, AZ 85020
Phone (602) 216-2273

7227 N 16th St
Ste 170
Phoenix, AZ 85020
Phone (602) 216-2273

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1912969387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S 900 E STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022983",
            "telephone_number": "801-485-6166",
            "fax_number": "801-531-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 W DESERT RIVER BLVD STE A-110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853073008",
            "telephone_number": "602-216-2273",
            "fax_number": "602-443-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "801-485-6166"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": "HSPC3731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Home Care & Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.