SUNCREST HOSPICE PHOENIX LLC (NPI# 1790201960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790201960 |
| Entity Type | Organization |
| Organization Name | SUNCREST HOSPICE PHOENIX LLC |
| Other Organization Name | SUNCREST PALLIATIVE ARIZONA |
| Practice Address |
4650 E Cotton Center Blvd Ste 110 Phoenix AZ 85040-4801 |
| Mailing Address |
1275 E Fort Union Blvd Ste 210 Midvale UT 84047-1885 |
| Practice Telephone | 6026331828 |
| Mailing Telephone | 8018490486 |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2017-08-18 |
| Authorized Official Name | TYLER GODFREY (CFO) |
| Authorized Official Telephone | 8018490486 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUNCREST HOSPICE PHOENIX LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Suncrest Palliative Arizona | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326495789 | Suncrest Hospice Phoenix LLC | Hospice Care, Community Based | 4650 E Cotton Center Blvd Ste 250, Phoenix, AZ 85040-4806 | 2016-05-16 |
| Street Address |
4650 E COTTON CENTER BLVD STE 110 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85040-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104459072 | Xyz Mobility LLC | Durable Medical Equipment & Medical Supplies | 4014 East Broadway Rd, Suite 405, Phoenix, AZ 85040 | 2020-02-19 |
| 1184162588 | Moses Assisted Living LLC | Community Based Residential Treatment Facility, Mental Illness | 827 E Chipman Rd, Phoenix, AZ 85040 | 2017-02-06 |
| 1083164149 | K & C Ventures LLC | Day Training, Developmentally Disabled Services | 4013 E Broadway Road, Phoenix, AZ 85040 | 2016-10-12 |
| 1952767956 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 4022 E Broadway Rd, Suite 119, Phoenix, AZ 85040 | 2016-01-06 |
| 1679947238 | Garcia's Assisted Living Home LLC | Custodial Care Facility | 2742 E Pueblo Avenue, Phoenix, AZ 85040 | 2015-11-19 |
| 1578956280 | Ashley Elizabeth Church | Physical Therapist | 5750 S. 32nd St, Phoenix, AZ 85040 | 2015-03-05 |
| 1720480940 | Above and Beyond Care Providers | Exclusive Provider Organization | 2136 E. Bowker St, Phoenix, AZ 85040 | 2014-09-18 |
| 1275708505 | Jennifer Louise Koslo | Nutritionist | 5633 South 42nd Street, Phoenix, AZ 85040 | 2008-04-28 |
| 1639200017 | Kevin Wayne Jones | Specialist/Technologist | 5621 S. 24th Street, Jones Concrete Construction LLC, Phoenix, AZ 85040 | 2007-03-08 |
| 1861529109 | Jayesh C Patel | Dentist | 522 East Southern Ave, Phoenix, AZ 85040 | 2007-02-27 |
| Find all providers in zip 85040 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336785567 | Compassus Op of Arizona LLC | Internal Medicine | 120 N 44th St Ste 150, Phoenix, AZ 85034-1829 | 2019-11-22 |
| 1013571017 | Wings of Hope Hospice and Palliative Care Inc. | Internal Medicine | 11022 N 28th Dr Ste 205, Phoenix, AZ 85029-5635 | 2019-04-24 |
| 1326512203 | Scott Tomlinson | Internal Medicine | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2019-01-14 |
| 1124569868 | Paradise Patient Care, LLC | Internal Medicine | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2017-03-14 |
| 1043690381 | Quality Palliative Care, Inc. | Internal Medicine | 1112 E Washington St, Phoenix, AZ 85034-1010 | 2015-06-02 |
| 1932479953 | Jay Babubhai Patel | Internal Medicine | 500 W Thomas Rd Ste 900b, Phoenix, AZ 85013 | 2012-01-06 |
| 1447473103 | William L Bunting | Internal Medicine | 202 E Earll Dr, Phoenix, AZ 85012-2634 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811542814 | Haven Home Physicians LLC | Internal Medicine | 15551 N Greenway-hayden Loop, Suite 155, Scottsdale, AZ 85260 | 2019-08-06 |
| 1760045009 | Neighborhood Hospice LLC | Internal Medicine | 13000 N 103rd Ave Ste 56, Sun City, AZ 85351-3024 | 2019-04-22 |
| 1720463466 | Agape Palliative Care, LLC | Internal Medicine | 2980 N Swan Rd, Ste 225, Tucson, AZ 85712-6024 | 2015-07-23 |
| 1801203682 | Amrita Kaur Sabharwal | Internal Medicine | 2451 S Avenue A Ste A104, Yuma, AZ 85364-7189 | 2014-07-14 |
| 1699918235 | Tlc Healthcare Wound Specialists Inc | Internal Medicine | 5130 N Circulo Sobrio, Tucson, AZ 85718-6036 | 2009-04-13 |
| 1417121849 | A Collins Villamor | Internal Medicine | 13000 N 103rd Ave Ste 54, Sun City, AZ 85351-3024 | 2008-04-16 |
| 1003027426 | John Polacheck | Internal Medicine | 1701 W. St. Mary's Rd., Suite 102, Tucson, AZ 85745 | 2007-05-25 |
| 1831655760 | Rta Hospice, LLC | Internal Medicine | 1025 W 24th St Ste 15, Yuma, AZ 85364-8373 | 2019-02-15 |
| 1982087532 | Hospice Md Pllc | Internal Medicine | 13000 N 103rd Ave Ste 54, Sun City, AZ 85351-3024 | 2015-07-01 |
| 1366701393 | Northern Arizona Healthcare Provider Group, LLC | Internal Medicine | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2012-05-11 |
| Find all providers with the same taxonomy | ||||
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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.