PRIME CARE HOSPICE, LLC (NPI# 1770769978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770769978 |
| Entity Type | Organization |
| Organization Name | PRIME CARE HOSPICE, LLC |
| Other Organization Name | PRIME HOSPICE |
| Practice Address |
4225 W Glendale Ave Ste A200 Phoenix AZ 85051 |
| Mailing Address |
Po Box 47090 Phoenix AZ 85068-7090 |
| Practice Telephone | 6238472323 |
| Practice Fax Number | 6029345603 |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2019-11-18 |
| Authorized Official Name | SATWANT K BHOWRA (CFO) |
| Authorized Official Telephone | 6025504065 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | HSPC4331 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 433523 | 05 |
| Other Name | Type Code |
|---|---|
| Prime Hospice | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4858 E Baseline Rd Ste 106, Mesa, AZ 852064638 | 6238472323 |
| Street Address |
4225 W GLENDALE AVE STE A200 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871125849 | Cactus Heights Healthcare LLC | Hospice Care, Community Based | 4225 W Glendale Ave Ste A200, Phoenix, AZ 85051-8134 | 2020-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184250383 | Jhajaira Elizabeth Cadenas | Optometrist | 3937 W Northview Ave, Phoenix, AZ 85051 | 2020-03-19 |
| 1083270854 | Vision With Wings | Voluntary or Charitable | 9617 N. Metro Pkwy West, Ste. 1214, Phoeniz, AZ 85051 | 2019-05-16 |
| 1417510405 | Applied Behavioral Interventions Pllc | Dietitian, Registered | 10000 N. 31st Avenue Ste. A107, Phoenix, AZ 85051 | 2019-04-16 |
| 1558832683 | Liberty Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9649 N 36th Ave, Phoenix, AZ 85051 | 2018-12-16 |
| 1518459080 | Addie Robin Diroberts | Counselor | 10240 W. 31st Ave, Phoenix, AZ 85051 | 2018-05-31 |
| 1093239816 | Jason Allan Parker | Licensed Practical Nurse | 3310 West Cheryl Drive, Phoenix, AZ 85051 | 2017-08-02 |
| 1588019145 | Vanessa Eloise Hernandez | Counselor | 10000 N. 31st Ave., Applied Behavioral Interventions, Pllc, Phoenix, AZ 85051 | 2016-05-02 |
| 1912230178 | Mozelle Barr Martin | Counselor | 3734 W. Vista Ave., Phoenix, AZ 85051 | 2009-09-04 |
| 1316184542 | Tom Sowash Od & Associates PC | Optometrist | 9617 North Parkway West, #1160, Phoenix, AZ 85051 | 2009-01-09 |
| 1609026913 | Luma Z Sayegh | Dentist | 7012 N 35th Ave, Suite 1, Phoenix, AZ 85051 | 2008-09-23 |
| Find all providers in zip 85051 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| 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 |
| 1588279673 | Centra Management Services LLC | Hospice Care, Community Based | 4530 E Shea Blvd Ste 142, Phoenix, AZ 85028-6067 | 2020-09-15 |
| 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 |
| Find all providers in PHOENIX | ||||
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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.