STILLWATER HOSPICE LLC


Address: 9720 W Peoria Ave Ste 115, Peoria, AZ 85345-6132
Phone: 6025679953

STILLWATER HOSPICE LLC (NPI# 1548825276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548825276
Entity Type Organization
Organization Name STILLWATER HOSPICE LLC
Practice Address 9720 W Peoria Ave Ste 115
Peoria
AZ 85345-6132
Practice Telephone 6025679953
Practice Fax Number 6025679933
Mailing Telephone 6025679953
Mailing Fax Number 6025679933
Enumeration Date 2019-05-08
Last Update Date 2019-05-08
Authorized Official Name MR. AMMON JACOB WOLFLEY (OWNER)
Authorized Official Telephone 6025739890
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based Agencies

Office Location

Street Address 9720 W PEORIA AVE STE 115
City PEORIA
State AZ
Zip Code 85345-6132

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1144545120 Lawrence William Wolfe Pharmacist 9043 W. Olive Ave., Fry's Food and Drug, Peoria, AZ 85345 2010-04-01
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184141301 Billet Hospice Inc - Peoria Hospice Care, Community Based 6718 W Greenway Rd Ste 205, Peoria, AZ 85381-4582 2017-08-28
1306281076 Banner Home Care Arizona Hospice Care, Community Based 8977 W Athens St, Peoria, AZ 85382-8170 2013-05-07
1043238975 Hospice of The Valley Hospice Care, Community Based 9435 W Peoria Ave, Peoria, AZ 85345-6479 2006-07-18
1780638379 Sun Health Hospice Care Services Hospice Care, Community Based 12740 N Plaza Del Rio Blvd, Suite B, Peoria, AZ 85381-8100 2006-05-19
1346725181 Mountain View Hospice LLC Hospice Care, Community Based 8263 W Thunderbird Rd, Peoria, AZ 85381-4615 2018-09-27
1003277070 United Healthy Permanente, Inc. Hospice Care, Community Based 13760 N 93rd Ave, Suite 105b, Peoria, AZ 85381-4201 2016-03-17
1104223106 Divine Hospice and Palliative Care LLC Hospice Care, Community Based 16165 N 83rd Ave, Suite 237, Peoria, AZ 85382-5816 2014-11-20
1841607686 V A Hospice 1 Inc Hospice Care, Community Based 6718 W Greenway Rd, Suite 205, Peoria, AZ 85381-4583 2014-07-14
1023049574 Saint Francis Medical Center Hospice Care, Community Based 2265 W Altorfer Dr, Peoria, IL 61615-1807 2006-07-05
1790737385 Methodist Medical Center of Illinois Hospice Care, Community Based 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 2006-05-16
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Competitor

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City PEORIA
Zip Code 85345

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Dataset Information

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.

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