SUNCREST HOSPICE PHOENIX LLC


Address: 4650 E Cotton Center Blvd Ste 110, Phoenix, AZ 85040-4801
Phone: 6026331828

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0002X Internal Medicine
Specialization: Hospice and Palliative Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Suncrest Palliative Arizona Other Name - Individual/Organization

Other Provider IDs and Locations

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

Office Location

Street Address 4650 E COTTON CENTER BLVD STE 110
City PHOENIX
State AZ
Zip Code 85040-4801

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Taxonomy Information

Taxonomy Code 207RH0002X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hospice and Palliative Medicine

Taxonomy Definition

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]

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1447473103 William L Bunting Internal Medicine 202 E Earll Dr, Phoenix, AZ 85012-2634 2007-04-11

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Competitor

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City PHOENIX
Zip Code 85040

Improve Information

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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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