RTA HOSPICE, LLC


Address: 1789 W Commerce Drive, Lakeside, AZ 85929-5354
Phone: 9283684400

RTA HOSPICE, LLC (NPI# 1568492304) 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) 1568492304
Entity Type Organization
Organization Name RTA HOSPICE, LLC
Practice Address 1789 W Commerce Drive
Lakeside
AZ 85929-5354
Mailing Address 10 Cadillac Dr
Suite 400
Brentwood
TN 37027-5078
Practice Telephone 9283684400
Practice Fax Number 9283684424
Mailing Telephone 6154255407
Mailing Fax Number 6153734457
Enumeration Date 2006-07-04
Last Update Date 2020-03-12
Authorized Official Name RUSSELL ADKINS (SVP GENERAL COUNSEL)
Authorized Official Telephone 6153095668
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315D00000X Hospice, Inpatient Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ 579906 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1285258434 Rta Hospice, LLC Hospice Care, Community Based 3033 N Windsong Dr Ste 205, Prescott Valley, AZ 86314-2297 2020-06-03
1649894809 Rta Hospice, LLC Hospice Care, Community Based 1000 N Humphreys St Ste 220, Flagstaff, AZ 86001-3125 2020-06-03
1811545536 Rta Hospice, LLC Hospice Care, Community Based 1940 Mesquite Ave Ste I, Lake Havasu City, AZ 86403-6123 2019-08-27
1063653236 Rta Hospice, LLC Hospice Care, Community Based 2755 Silver Creek Rd Ste 211, Bullhead City, AZ 86442-8347 2009-03-17
1457381295 Rta Hospice, LLC Hospice, Inpatient 70 Bell Rock Plaza, Sedona, AZ 86351 2006-07-04
1568492395 Rta Hospice, LLC Hospice, Inpatient 511 S Mud Springs Road, Payson, AZ 85541-5747 2006-07-04
1023048857 Rta Hospice, LLC Hospice, Inpatient 1675 E Monument Plaza Circle, Casa Grande, AZ 85122-5600 2006-07-04
1831655760 Rta Hospice, LLC Internal Medicine 1025 W 24th St Ste 15, Yuma, AZ 85364-8373 2019-02-15
1659432243 Rta Hospice, LLC Hospice Care, Community Based 2320 S 22nd Dr, Yuma, AZ 85364-8867 2006-12-13

Office Location

Street Address 1789 W COMMERCE DRIVE
City LAKESIDE
State AZ
Zip Code 85929-5354

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689272700 Pediatric Multicare West, LLC Pediatrics 316 W. White Mountain Blvd., Suite A, Lakeside, AZ 85929 2020-10-12
1841836285 Changepoint Integrated Health Community/Behavioral Health 1920 West Commerce Dr, Lakeside, AZ 85929 2019-11-20
1184111692 Statclinix Plc Clinic/Center 3457 W White Mountain Blvd, Lakeside, AZ 85929 2018-04-19
1154827863 Advanced Health and Wellness Az Clinic/Center 4830 Highway 260 Ste 102, Lakeside, AZ 85929 2018-04-02
1740648260 Ries Chiropractic and Rehabilitation Center LLC Point of Service 5658 Hwy 260 Ste 1, Lakeside, AZ 85929 2016-01-29
1912395807 Samuel Jesus Rosero Garcia Family Medicine 300 W. White Mountain Blvd, Suite D, Lakeside, AZ 85929 2014-12-31
1104178326 Ronald T. Watanabe Chiropractor 20 West White Mountain Road, Safeway Pharmacy, Lakeside, AZ 85929 2012-10-11
1962705442 San Tan Behavioral Health Services Non-emergency Medical Transport (VAN) 1277 Hummingbird Circle, Lakeside, AZ 85929 2010-12-06
1609181718 Freter Family Practice Pllc Family Medicine 5448 S. White Mountain Blvd, 270, Lakeside, AZ 85929 2010-08-12
1760701221 Sierra Blanca Rehabilitation LLC Skilled Nursing Facility 3401 N Lockwood Dr, Lakeside, AZ 85929 2010-05-24
Find all providers in zip 85929

Taxonomy Information

Taxonomy Code 315D00000X
Grouping Nursing & Custodial Care Facilities
Classification Hospice, Inpatient

Taxonomy Definition

A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient.
Notes: Source: AHA Guide, American Hospital Association.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851900393 Family Care Home Health & Hospice Hospice, Inpatient 3464 Sundial Dr, Bullhead City, AZ 86429-7631 2020-07-30
1225427081 Morenos Care Home Hospice, Inpatient 4713 E Cecelia St, Tucson, AZ 85711-4313 2015-01-16
1013322635 Banner Home Care Arizona Hospice, Inpatient 275 E Germann Rd Ste 110w, Gilbert, AZ 85297-2916 2014-06-23
1659719771 Prince of Peace Hospice & Palliative Care Hospice, Inpatient 660 S Pinal Pkwy Apt 106, Florence, AZ 85132-9726 2013-06-11
1063597169 Carondelet Health Network Hospice, Inpatient 1802 W St Mary's Road, Tucson, AZ 85745-2623 2006-10-26
1457381295 Rta Hospice, LLC Hospice, Inpatient 70 Bell Rock Plaza, Sedona, AZ 86351 2006-07-04
1568492395 Rta Hospice, LLC Hospice, Inpatient 511 S Mud Springs Road, Payson, AZ 85541-5747 2006-07-04
1023048857 Rta Hospice, LLC Hospice, Inpatient 1675 E Monument Plaza Circle, Casa Grande, AZ 85122-5600 2006-07-04
1003424623 Nana Hope Hospice Center, LLC Hospice, Inpatient 1620 N 48th St, Phoenix, AZ 85008-7723 2020-07-20
1659824316 Columbia Health Palliative Care and Hospice Corp Hospice, Inpatient 15849 N 71st St, Suite 100, Scottsdale, AZ 85254-2179 2016-07-29
Find all providers with the same taxonomy

Competitor

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City LAKESIDE
Zip Code 85929

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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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