INTREPID OF ARIZONA, INC. (NPI# 1619599057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619599057 |
| Entity Type | Organization |
| Organization Name | INTREPID OF ARIZONA, INC. |
| Other Organization Name | INTREPID USA HOSPICE |
| Practice Address |
1 W Wetmore Rd Ste 203 Tucson AZ 85705-0603 |
| Mailing Address |
3220 Keller Springs Rd Ste 108 Carrollton TX 75006-5911 |
| Practice Telephone | 5208739302 |
| Practice Fax Number | 5205855261 |
| Mailing Telephone | 2144453750 |
| Mailing Fax Number | 2144453900 |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | PAUL M MCMULLEN (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2144453750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Intrepid USA Hospice | Doing Business As Name - Organization |
| Street Address |
1 W WETMORE RD STE 203 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85705-0603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257347 | John Matthew Gill, Od and Associates | Optometrist | 4500 N. Oracle Road, Suite 423, Tucson, AZ 85705 | 2020-02-17 |
| 1831730795 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 434 E University Blvd, Tucson, AZ 85705 | 2019-10-02 |
| 1730681685 | Casa De Los Ninos, Inc. | Community/Behavioral Health | 1120 N 5th Avenue, Tucson, AZ 85705 | 2018-03-07 |
| 1699275693 | Tzimari Sotelo | Nurse Practitioner | 941 N 11th Ave, Tucson, AZ 85705 | 2018-02-15 |
| 1679956502 | Dean Doan | Dentist | 2012 North Country Club Road, Suite E, Tucson, AZ 85705 | 2015-07-09 |
| 1437572955 | Home Is Where The Heart Is Senior Care | Home Health | 4541 N Old Romero Rd, #35, Tuscon, AZ 85705 | 2014-02-04 |
| 1932457553 | Pamela A Williamson | Registered Nurse | 698 E Wetmore Rd Ste 100, Tucson, AZ 85705 | 2012-08-29 |
| 1104136571 | Charles Tyler Upton | Counselor | 721 N. Fourth Ave, Tucson, AZ 85705 | 2010-10-19 |
| 1851629844 | Francisco Antonio Sanchez | Psychologist | 504 E. Speedway Blvd, Tucson, AZ 85705 | 2009-12-02 |
| 1235466145 | Maria Guadalupe Millan | Contractor | 870 W. Miracle Mile, La Paloma Family Services, Tucson, AZ 85705 | 2009-11-13 |
| Find all providers in zip 85705 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334282 | Aventus Hospice Care Inc | Hospice Care, Community Based | 1 S Church Ave # 12001253, Tucson, AZ 85701-1612 | 2020-10-20 |
| 1659970648 | Avra Hospice Care Inc | Hospice Care, Community Based | 1 S Church Ave # 12001255, Tucson, AZ 85701-1612 | 2020-10-20 |
| 1396351235 | Catalina Hospice | Hospice Care, Community Based | 225 W Ajo Way, Tucson, AZ 85713-6038 | 2020-09-16 |
| 1093334880 | Family Choice Palliative & Hospice Care, LLC | Hospice Care, Community Based | 15631 N Oracle Rd Ste 187, Tucson, AZ 85739-8691 | 2020-04-11 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1457912271 | Haven Hospice Tucson, LLC | Hospice Care, Community Based | 7620 N Hartman Ln Ste 120, Tucson, AZ 85743-8264 | 2019-06-24 |
| 1235616954 | Dependable Hospice and Palliative Care LLC | Hospice Care, Community Based | 1141 N El Dorado Pl Ste 300, Tucson, AZ 85715-4623 | 2018-07-25 |
| 1225554223 | Billet Hospice Inc - Tucson | Hospice Care, Community Based | 1 S Church Ave Ste 1203, Tucson, AZ 85701-1612 | 2017-08-21 |
| 1144762394 | Traditions Hospice of Tucson LLC | Hospice Care, Community Based | 3931 E. Paradise Falls Drive, Suite 101, Tucson, AZ 85712 | 2016-11-04 |
| 1629444245 | Amedisys Hospice, LLC | Hospice Care, Community Based | 1585 E River Rd Ste 201, Tucson, AZ 85718-5979 | 2015-08-18 |
| Find all providers in TUCSON | ||||
Please comment or provide details below to improve the information on INTREPID OF ARIZONA, INC..
| 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.