NORTHLAND HOSPICE & PALLIATIVE CARE (NPI# 1366607145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366607145 |
| Entity Type | Organization |
| Organization Name | NORTHLAND HOSPICE & PALLIATIVE CARE |
| Other Organization Name | OLIVIA WHITE HOSPICE HOME |
| Practice Address |
752 N Switzer Canyon Dr Flagstaff AZ 86001-4835 |
| Mailing Address |
Po Box 997 Flagstaff AZ 86002-0997 |
| Practice Telephone | 9282261915 |
| Practice Fax Number | 9282261923 |
| Mailing Telephone | 9287791227 |
| Mailing Fax Number | 9287795884 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |
| Authorized Official Name | MRS. CHARLENE TAYLOR (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9287791227 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHLAND HOSPICE & PALLIATIVE CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 177F00000X | Lodging | ALH-4018 | AZ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 726185 | 05 | |
| AZ | 110495 | 05 |
| Other Name | Type Code |
|---|---|
| Olivia White Hospice HOme | Doing Business As Name - Organization |
| Street Address |
752 N SWITZER CANYON DR |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-4835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 177F00000X |
| Grouping | Other Service Providers |
| Classification | Lodging |
| A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275717530 | Donna L Rose | Lodging | 6005 E Abineau Canyon Dr, Flagstaff, AZ 86004-7168 | 2007-12-21 |
| 1366947152 | Northland Hospice & Palliative Care Inc | Lodging | 452 N Switzer Canyon Dr, Flagstaff, AZ 86001-4855 | 2018-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629693874 | Hayes Reseach, LLC | Lodging | 130 W Hampton Ave Ste 5, Mesa, AZ 85210-5261 | 2020-06-13 |
| 1912134164 | Simona Magda | Lodging | 11433 N 33rd Ave, Phoenix, AZ 85029-3236 | 2009-06-15 |
| 1164666236 | Betsy Custard | Lodging | 3484 N Constance Dr., Prescott Valley, AZ 86314 | 2009-04-21 |
| 1275688582 | Ronald L Thorne | Lodging | 2707 E Oak St, Phoenix, AZ 85008-1938 | 2007-01-24 |
| 1265585269 | Zahra Chebet Plagens | Lodging | 7445 W Cheryl Dr, Peoria, AZ 85345-6722 | 2007-01-21 |
| 1235280165 | Alona Q. Turalba | Lodging | 862 N John Way, Chandler, AZ 85225-9023 | 2007-01-16 |
| 1194888073 | Freedom Manor, Inc. | Lodging | 628 E Knoll St, Mesa, AZ 85203-1807 | 2006-12-19 |
| 1689737579 | Freedom Manor, Inc. | Lodging | 2116 W Ocelot Dr, Tucson, AZ 85713-1234 | 2006-12-19 |
| 1346303245 | Freedom Manor, Inc. | Lodging | 5724 W Cannon Dr, Glendale, AZ 85302-1312 | 2006-12-19 |
| 1134282080 | Freedom Manor, Inc. | Lodging | 2524 E Heatherbrae Dr, Phoenix, AZ 85016-5668 | 2006-12-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.