CENTRA MANAGEMENT SERVICES LLC


Address: 4530 E Shea Blvd Ste 142, Phoenix, AZ 85028-6067
Phone: 4803204733

CENTRA MANAGEMENT SERVICES LLC (NPI# 1588279673) 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) 1588279673
Entity Type Organization
Organization Name CENTRA MANAGEMENT SERVICES LLC
Practice Address 4530 E Shea Blvd Ste 142
Phoenix
AZ 85028-6067
Practice Telephone 4803204733
Practice Fax Number 8889207164
Mailing Telephone 4803204733
Mailing Fax Number 8889207164
Enumeration Date 2020-09-15
Last Update Date 2020-09-15
Authorized Official Name MR. JEFFERY SMITH (OWNER)
Authorized Official Telephone 4803204733
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
AZ HOSPICE L21405248 01

Office Location

Street Address 4530 E SHEA BLVD STE 142
City PHOENIX
State AZ
Zip Code 85028-6067

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235626565 Celice Korsten Psychologist 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 2018-04-23
1720591605 Michele Kaplan Counselor 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 2017-11-14
1154840304 Faustino M. Gonzalez, Md PC Anesthesiology 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 2017-09-19
1679092514 Savior Palliative Care LLC Family Medicine 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 2017-09-12
1437688892 Harmony Behavioral Health Behavioral Analyst 3008 E Sierra St, Phoenix, AZ 85028 2017-06-08
1275949224 Alexander D Garza Podiatrist 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 2014-07-09
1720418379 Alyssa Hale Occupational Therapy Assistant 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 2013-11-19
1932534476 Stephen Howard Garber Otolaryngology 9607 N. 43rd Way, Phoenix, AZ 85028 2013-09-03
1366798050 Irna Lynn Shamos Clinical Neuropsychologist 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 2012-07-31
1285930925 Cathy Ann Payne Nurse Practitioner 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 2011-01-27
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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
1437758885 Legacy Hospice Care LLC Hospice Care, Community Based 7725 N 43rd Ave Ste 611, Phoenix, AZ 85051-5770 2020-10-17
1407461643 Kind Hearts Hospice, Inc. Hospice Care, Community Based 10210 N 32nd St Ste 215, Phoenix, AZ 85028-3848 2020-09-14
1104434141 First Choice Hospice LLC Hospice Care, Community Based 1738 E Thomas Rd, Phoenix, AZ 85016-7604 2020-07-15
1538787122 Nana Hope Hospice and Palliative Care LLC Hospice Care, Community Based 1620 N 48th St Ste 101, Phoenix, AZ 85008-7720 2020-07-09
1235751645 Hummingbird Hospice LLC Hospice Care, Community Based 4500 N 32nd St Ste 201, Phoenix, AZ 85018-3396 2020-05-08
1154942217 We Care Hospice Inc Hospice Care, Community Based 2415 E Camelback Rd # 700-796, Phoenix, AZ 85016-4288 2020-04-29
1881215945 Valley Care Hospice Inc Hospice Care, Community Based 2415 E Camelback Rd Ste 700-795, Phoenix, AZ 85016-4288 2020-04-29
1821617960 Elements of Elder Care Hospice Care, Community Based 2990 E Northern Ave Ste C103, Phoenix, AZ 85028-4839 2020-04-09
1770123622 Elite Royalty Healthcare Hospice LLC Hospice Care, Community Based 519 E Eva St Ste D, Phoenix, AZ 85020-2518 2020-01-08
1114562907 United Hospice & Palliative Care of Arizona LLC Hospice Care, Community Based 2630 E Mohawk Ln Ste 132, Phoenix, AZ 85050-4637 2019-11-15
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Competitor

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City PHOENIX
Zip Code 85028

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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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