Active NPI
Shapc LLC
- Community Based Hospice Care Agency
- Glendale, AZ
National Provider Identifier
1912969387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- HSPC3731
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Community Based Hospice Care Agency
- Phoenix, AZ
- NPI 1306485313
Member Of
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.