NPIMap

Organization Active NPI

Liberty Hospice & Palliative Care, Inc

  • Community Based Hospice Care Agency
  • Phoenix, AZ
National Provider Identifier
1972990430
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HSPC7062 Issued in AZ
Legal business name
LIBERTY HOSPICE & PALLIATIVE CARE, INC
Practice address
11811 N Tatum Blvd
Suite 3031
Phoenix, AZ 85028-1614
Phone
(602) 456-9993
Fax
(602) 456-9993
NPI assigned
Apr 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Ms. Dianna Baker
Title
Administrator
Phone
(602) 456-9993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HSPC7062 AZ Primary

Addresses

Primary practice location

11811 N Tatum Blvd
Suite 3031
Phoenix, AZ 85028-1614

Mailing address

11811 N Tatum Blvd
Suite 3031
Phoenix, AZ 85028-1614
Phone (602) 456-9993

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1972990430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 N TATUM BLVD",
            "address_2": "SUITE 3031",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281614",
            "telephone_number": "602-456-9993",
            "fax_number": "602-456-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 N TATUM BLVD",
            "address_2": "SUITE 3031",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281614",
            "telephone_number": "602-456-9993",
            "fax_number": "602-456-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HOSPICE & PALLIATIVE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-456-9993",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": "HSPC7062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.